ROBERT T JACKSON MD
NPI 1407959695
Orthopaedic Surgery in Provo, UT
NPI Status: Active since September 06, 2006
Contact Information
1055 N 500 W
SUITE 121
PROVO, UT
ZIP 84604
Phone: (801) 373-7350
Fax: (801) 812-5401
- Individual
- Male
- Orthopaedic Surgery
About ROBERT JACKSON
This page provides the complete NPI Profile along with additional information for Robert Jackson, a provider established in Provo, Utah with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1407959695 assigned on September 2006. The practitioner's primary taxonomy code is 207X00000X with license number 158297-1205 (UT). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1407959695
- Provider Name
- ROBERT T JACKSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1055 N 500 W SUITE 121 PROVO, UT 84604
- Location Phone
- (801) 373-7350
- Location Fax
- (801) 812-5401
- Mailing Address
- 1055 N 500 W CREDENTIALING DEPARTMENT PROVO, UT 84604
- Mailing Phone
- (801) 354-8225
- Mailing Fax
- (801) 812-5401
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-06-2006
- Last Update Date
- 11-02-2018
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 158297-1205
- License State
- UT
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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 |
|---|---|---|---|
| 09-00414 | OTHER (01) | UT | UNITED HEALTHCARE |
| 200045123 | OTHER (01) | UT | PALMETTO |
| QM0000056631 | OTHER (01) | UT | ALTIUS |
| 35879 | OTHER (01) | UT | DMBA |
| 870281028000 | MEDICAID (05) | UT | |
| 870281028RTJ | OTHER (01) | UT | EMIA |
| 107006624103 | OTHER (01) | UT | IHC |
| 68074 | OTHER (01) | UT | PEHP |
Reviews for ROBERT T JACKSON MD
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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. | |||||||||
| 1 | 4 | 0 | 7 | 9 | 5 | 9 | 6 | 9 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 18 | 5 | 18 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 8 + 5 + 1 + 8 + 6 + 1 + 8 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1407959695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831153840 | NO ROLL UP TIMPANOGOS LLC Organization | Clinic/Center (End-Stage Renal Disease (ESRD) Treatment) | 1055 N 500 W STE 222 PROVO, UT 84604 (801) 356-8907 |
| 1235197674 | JOHN K FRISCHKNECHT MD Individual | Internal Medicine (Cardiovascular Disease) | 1055 N 500 W SUITE 101 PROVO, UT 84604 (801) 373-4366 |
| 1205894649 | STEVEN D BIGLER MD Individual | Obstetrics & Gynecology (Gynecology) | 1055 N 500 W SUITE 212 PROVO, UT 84604 (801) 429-8095 |
| 1124077391 | GREGORY E CRANER MD Individual | Internal Medicine (Gastroenterology) | 1055 N 500 W SUITE 100 BLDG B PROVO, UT 84604 (801) 374-1268 |
| 1962453431 | TRACY WILLIAMS A.P.R.N. Individual | Nurse Practitioner | 1055 N 500 W SUITE 212 PROVO, UT 84604 (801) 374-2362 |
| 1104864651 | MICHAEL CALLAHAN MD Individual | Orthopaedic Surgery | 1055 N 500 W PROVO, UT 84604 (801) 763-3885 |
| 1699710590 | RACHEL E HIGGINSON RD Individual | Dietitian, Registered | 1055 N 500 W SUITE 122 PROVO, UT 84604 (801) 429-0610 |
| 1225064124 | HEIDI PORTER NP Individual | Nurse Practitioner | 1055 N 500 W SUITE 222 PROVO, UT 84604 (801) 377-4623 |
| 1851327886 | MR. SHANNON DAY LOREE NP Individual | Nurse Practitioner (Family) | 1055 N 500 W SUITE 202 PROVO, UT 84604 (801) 374-2367 |
| 1932138195 | GERALD B STEPHANZ MD Individual | Internal Medicine (Nephrology) | 1055 N 500 W PROVO, UT 84604 (801) 377-4623 |
| 1184735755 | KIRK D KINGERY PT Individual | Physical Therapist (Hand) | 1055 N 500 W SUITE 122 PROVO, UT 84604 (801) 429-0610 |
| 1942302658 | SHIRLEY B ELLSWORTH NP Individual | Nurse Practitioner | 1055 N 500 W SUITE 202 PROVO, UT 84604 (801) 374-2367 |
| 1659473361 | BARTLEY BRETT MORTENSEN PT Individual | Physical Therapist | 1055 N 500 W SUITE 122 PROVO, UT 84604 (801) 429-0610 |
| 1447341193 | DOUGLAS LAMAR FILLMORE PA Individual | Physician Assistant | 1055 N 500 W SUITE 121 PROVO, UT 84604 (801) 373-7350 |
| 1336212414 | ALLAN JEFFERY DO Individual | Internal Medicine | 1055 N 500 W SUITE 212 PROVO, UT 84604 (801) 374-2362 |
| 1518187764 | ANNA NASH PA-C Individual | Physician Assistant | 1055 N 500 W SUITE 102 PROVO, UT 84604 (801) 374-2367 |
| 1144434788 | DR. LARRY CREED FORD JR. M.D. Individual | Internal Medicine (Infectious Disease) | 1055 N 500 W SUITE 202 PROVO, UT 84604 (801) 374-2367 |
| 1891901179 | LISA A.W. GRIFFIN PA-C Individual | Physician Assistant | 1055 N 500 W SUITE 222 PROVO, UT 84604 (801) 377-4623 |
| 1730318445 | STEPHEN CRUZE PAC Individual | Physician Assistant (Surgical) | 1055 N 500 W SUITE 121 PROVO, UT 84604 (801) 373-7350 |
| 1467765735 | MALGORZATA HANCZYC MD Individual | Internal Medicine (Rheumatology) | 1055 N 500 W SUITE 212 PROVO, UT 84604 (801) 429-8095 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407959695, enumerated in the NPI registry as an "individual" on September 06, 2006
The provider is located at 1055 N 500 W Suite 121 Provo, Ut 84604 and the phone number is (801) 373-7350
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
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 September 06, 2006. 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].
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