DR. KENNETH WILLIAM JACKSON MD
NPI 1578621843
Orthopaedic Surgery in Fairfax, VA
NPI Status: Active since December 05, 2006
Contact Information
12255 FAIR LAKES PARKWAY
FAIRFAX, VA
ZIP 22033
Phone: (703) 934-5905
Fax: (703) 934-5778
- Individual
- Male
- Orthopaedic Surgery
About KENNETH JACKSON
This page provides the complete NPI Profile along with additional information for Kenneth Jackson, a provider established in Fairfax, Virginia with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1578621843 assigned on December 2006. The practitioner's primary taxonomy code is 207X00000X with license number 0101038325 (VA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1578621843
- Provider Name
- DR. KENNETH WILLIAM JACKSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033
- Location Phone
- (703) 934-5905
- Location Fax
- (703) 934-5778
- Mailing Address
- KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP 2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI ROCKVILLE, MD 20852
- Mailing Phone
- (301) 816-6660
- Mailing Fax
- (703) 934-5778
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-05-2006
- Last Update Date
- 07-08-2007
- 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.
- 0101038325
- License State
- VA
- 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 |
|---|---|---|---|
| 416707M92 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| D83920 | MEDICARE UPIN (02) |
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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 | 7 | 8 | 6 | 2 | 1 | 8 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 12 | 2 | 2 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 2 + 2 + 2 + 8 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1578621843 is valid because the calculated check digit 3 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 |
|---|---|---|---|
| 1073681490 | DR. DAVID L MEINERT OD Individual | Optometrist | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1609936376 | DR. ASHOK PETE PRAHLAD MD Individual | Surgery | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5700 |
| 1376605972 | MS. REBECCA DIANNE HUFFSTUTLER CRNP Individual | Nurse Practitioner | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5700 |
| 1568526655 | MS. HAMDA GHAFFARI OBRIEN CNM Individual | Midwife | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1992861496 | DR. JOHN E.W. BEACH M.D. Individual | Internal Medicine (Pulmonary Disease) | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1669529194 | DR. SUZANNE EACKER CURRAN MD Individual | Obstetrics & Gynecology | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5700 |
| 1407906258 | MRS. AMANDA C BROOKS CRNP Individual | Nurse Practitioner | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5700 |
| 1033263900 | DR. WA-LEE L COURTNEY O.D. Individual | Optometrist | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1942375985 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. Organization | Clinical Medical Laboratory | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5740 |
| 1588741995 | DR. LYNN C HEALEY OD Individual | Optometrist | 12255 FAIR LAKES PARKWAY KAISER PERMANENTE FAIRFAX, VA 22033 (703) 934-5820 |
| 1174695662 | DR. MONA REWARI MD Individual | Pediatrics | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5806 |
| 1073689253 | DR. JAMES W SLACK MD Individual | Ophthalmology | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5820 |
| 1760558902 | DR. PATRICIA J O BRIEN OD Individual | Optometrist | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1770645368 | DR. SWATI SUDHEER SHIRALI MD Individual | Orthopaedic Surgery | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1518033745 | DR. NEETA AHUJA MD Individual | Internal Medicine | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1699847186 | DR. YODIT B BENALFEW MD Individual | Internal Medicine | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5905 |
| 1912058736 | DR. BASSEMA A ANTABLI M.D. Individual | Internal Medicine (Medical Oncology) | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5700 |
| 1598186504 | MRS. ANNE HEYER DREMLUK RN Individual | Registered Nurse (General Practice) | 12255 FAIR LAKES PARKWAY KIASER PALMENTE FAIRFAX, VA 22033 (703) 359-7878 |
| 1871669002 | DR. PAUL H MCCLAIN MD Individual | Internal Medicine | 12255 FAIR LAKES PARKWAY KAISER PERMANENTE FAIR OAKS MEDICAL CENTER FAIRFAX, VA 22033 (703) 934-5700 |
| 1326114208 | KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC Organization | Pharmacy (Managed Care Organization Pharmacy) | 12255 FAIR LAKES PARKWAY FAIRFAX, VA 22033 (703) 934-5800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578621843, enumerated in the NPI registry as an "individual" on December 05, 2006
The provider is located at 12255 Fair Lakes Parkway Fairfax, Va 22033 and the phone number is (703) 934-5905
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 December 05, 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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