ALTHEA J. JACKSON M.D.
NPI 1306838321
Obstetrics & Gynecology in Fort Wayne, IN

NPI Status: Active since August 16, 2005

Contact Information

2510 E DUPONT RD
SUITE 100
FORT WAYNE, IN
ZIP 46825
Phone: (260) 490-9883
Fax: (260) 490-0064

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  • Individual
  • Female
  • Obstetrics & Gynecology

About ALTHEA JACKSON

This page provides the complete NPI Profile along with additional information for Althea Jackson, a women's health care provider established in Fort Wayne, Indiana with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1306838321 assigned on August 2005. The practitioner's primary taxonomy code is 207V00000X with license number 01052580A (IN). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1306838321
Provider Name
ALTHEA J. JACKSON M.D.
Gender
Female
Entity Type
Individual
Location Address
2510 E DUPONT RD SUITE 100 FORT WAYNE, IN 46825
Location Phone
(260) 490-9883
Location Fax
(260) 490-0064
Mailing Address
1330 POWELL ST SUITE 507 NORRISTOWN, PA 19401
Mailing Phone
(610) 279-9003
Mailing Fax
(260) 490-0064
Is Sole Proprietor?
No
Enumeration Date
08-16-2005
Last Update Date
07-08-2007
Code Navigator

Women's health care providers like Althea Jackson treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
01052580A
License State
IN
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

MD040658E (PA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
E55802MEDICARE UPIN (02)PA 
E55802MEDICARE UPIN (02)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306838321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061631634
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 6 + 3 + 1 + 6 + 3 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1306838321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811970858KNEE & SHOULDER CENTER, INC.
Organization
Orthopaedic Surgery2510 E DUPONT RD SUITE 206
FORT WAYNE, IN 46825
(260) 497-8855
1700856937 LISA M SCHOMOGYI MD
Individual
Surgery2510 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825
(260) 969-2990
1447229380PULMONARY ASTHMA & ALLERGY CONSULTS
Organization
Internal Medicine (Pulmonary Disease)2510 E DUPONT RD STE 200
FORT WAYNE, IN 46825
(260) 489-6969
1558314039THREE RIVERS SURGICAL ASSOCIATES, LLC
Organization
Surgery2510 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825
(260) 969-2990
1578523676 THEKKUMKATTIL D JAMES MD
Individual
Internal Medicine (Pulmonary Disease)2510 E DUPONT RD STE 200
FORT WAYNE, IN 46825
(260) 489-6969
1124459276FW INTERVENTIONAL PAIN MANAGEMENT LLC
Organization
Anesthesiology2510 E DUPONT RD SUITE 115
FORT WAYNE, IN 46825
(260) 672-8979
1497958946NORTHEAST FOOT & ANKLE CLINIC INC
Organization
Podiatrist2510 E DUPONT RD STE. 234
FORT WAYNE, IN 46825
(260) 416-0070
1821459413KIDS.HEALTHCARE PC
Organization
Pediatrics2510 E DUPONT RD SUITE 238
FORT WAYNE, IN 46825
(855) 200-7337
1447634449ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Organization
Pediatrics2510 E DUPONT RD SUITE 200
FORT WAYNE, IN 46825
(260) 432-4913
1013078351 OSITA VICTOR EZEAKUDO M.D.
Individual
Pediatrics2510 E DUPONT RD SUITE 200
FORT WAYNE, IN 46825
(260) 432-4913
1396080156T-MED SERVICES, INC
Organization
Psychiatry & Neurology (Neurology)2510 E DUPONT RD SUITE 201
FORT WAYNE, IN 46825
(260) 267-6383
1265412266 MARY ANN MEO DO
Individual
Surgery2510 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825
(260) 969-2990

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306838321, enumerated in the NPI registry as an "individual" on August 16, 2005

The provider is located at 2510 E Dupont Rd Suite 100 Fort Wayne, In 46825 and the phone number is (260) 490-9883

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.