RANDY D JACKSON PA-C
NPI 1508825357
Physician Assistant in Millinocket, ME
NPI Status: Active since March 21, 2006
Contact Information
200 SOMERSET ST
SUITE 2
MILLINOCKET, ME
ZIP 04462
Phone: (207) 723-5173
Fax: (207) 723-3040
- Individual
- Male
- Physician Assistant
About RANDY JACKSON
This page provides the complete NPI Profile along with additional information for Randy Jackson, a primary care provider established in Millinocket, Maine with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1508825357 assigned on March 2006. The practitioner's primary taxonomy code is 363A00000X with license number PA-028 (ME). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1508825357
- Provider Name
- RANDY D JACKSON PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 SOMERSET ST SUITE 2 MILLINOCKET, ME 04462
- Location Phone
- (207) 723-5173
- Location Fax
- (207) 723-3040
- Mailing Address
- 200 SOMERSET ST MILLINOCKET, ME 04462
- Mailing Phone
- (207) 723-5173
- Mailing Fax
- (207) 723-3040
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-21-2006
- Last Update Date
- 02-11-2013
- Code Navigator
A primary care provider (PCP) like Randy Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA-028
- License State
- ME
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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.
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 |
|---|---|---|---|
| 079032 | OTHER (01) | ME | ANTHEM |
| 1508825357 | MEDICAID (05) | ME | |
| 201855 | OTHER (01) | ME | NGS |
| AP0404 | MEDICARE ID-TYPE UNSPECIFIED (04) | ME | NHIC |
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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 | 5 | 0 | 8 | 8 | 2 | 5 | 3 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 16 | 2 | 10 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 6 + 2 + 1 + 0 + 3 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1508825357 is valid because the calculated check digit 7 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 |
|---|---|---|---|
| 1083683593 | DANIEL C HERBERT M.D. Individual | Internal Medicine | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1477512077 | GEORGE V MCDONALD M.D. Individual | Specialist | 200 SOMERSET ST MILLINOCKET UROLOGY MILLINOCKET, ME 04462 (207) 723-5161 |
| 1144253121 | PUNDALIK P PAI M.D. Individual | Internal Medicine | 200 SOMERSET ST MILLINOCKET REGIONAL HOSPITAL-INTERNAL MEDICINE MILLINOCKET, ME 04462 (207) 723-5173 |
| 1770506461 | BRUCE ALVIN RIOUX CRNA Individual | Nurse Anesthetist, Certified Registered | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1265443196 | MILLINOCKET REGIONAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1760494603 | MR. DOUGLAS RHODA PAC Individual | Physician Assistant | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1457363301 | MR. ANDRE PARENT PAC Individual | Physician Assistant | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1578677456 | MILLINOCKET REGIONAL HOSPITAL Organization | Medicare Defined Swing Bed Unit | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1164628277 | KWAKU OWUSU-ABROKWA M.D. Individual | Internal Medicine | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5173 |
| 1427248962 | DR. VENKATARAMAN MUNUSAMY M.D. Individual | Family Medicine | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1366794513 | MILLINOCKET REGIONAL HOSPITAL Organization | Clinic/Center (Rural Health) | 200 SOMERSET ST SUITE 3 MILLINOCKET, ME 04462 (207) 723-5173 |
| 1720330970 | MILLINOCKET REGIONAL HOSPITAL Organization | Clinic/Center (Rural Health) | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5173 |
| 1871562918 | ROSE ANN HUNT NP Individual | Nurse Practitioner (Adult Health) | 200 SOMERSET ST MILLINOCKET REGIONAL HOSPITAL-INTERNAL MEDICINE MILLINOCKET, ME 04462 (207) 723-5173 |
| 1326475765 | KENNETH R RITCHIE Individual | Physical Therapy Assistant | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 543-6252 |
| 1841772803 | RYAN MICHAEL WHITEHOUSE MPT Individual | Physical Medicine & Rehabilitation | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1649742057 | CHERYL W CARRELL RN Individual | Registered Nurse (Diabetes Educator) | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-3393 |
| 1912479320 | JANE A DANFORTH Individual | Health Educator | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5288 |
| 1275646150 | MILLINOCKET REGIONAL HOSPITAL Organization | General Acute Care Hospital (Critical Access) | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1982677589 | LAWRENCE E HALLETT CRNA Individual | Nurse Anesthetist, Certified Registered | 200 SOMERSET ST MILLINOCKET, ME 04462 (207) 723-5161 |
| 1104835669 | JOSEPH AQUILINA FNPC Individual | Nurse Practitioner (Family) | 200 SOMERSET ST SUITE 2 MILLINOCKET, ME 04462 (207) 794-6700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508825357, enumerated in the NPI registry as an "individual" on March 21, 2006
The provider is located at 200 Somerset St Suite 2 Millinocket, Me 04462 and the phone number is (207) 723-5173
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Anthem Blue Cross, 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 March 21, 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].
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.