DR. ROGER P JACKSON M.D. NPI 1811044548

NPI Information

NPI: 1811044548
Provider Name: DR. ROGER P JACKSON, M.D.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

Address:
2750 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO
ZIP 64116
Phone: (816) 471-6611
Get Directions

DR. Roger P Jackson, M.D. is an orthopaedic surgery of the spine orthopaedic surgery in North Kansas City, MO. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. DR. Roger P Jackson, M.D. NPI is 1811044548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2750 CLAY EDWARDS DR STE 600
NORTH KANSAS CITY, MO
ZIP 64116-258
Phone: (816) 471-6611
Fax: (816) 471-6192

The enumeration date for this NPI number is 1/4/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207XS0117X	Orthopaedic Surgery	Orthopaedic Surgery of the Spine	R5717	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	07979011	OTHER	BCBS OF KC
2	200018411	OTHER	RAILROAD MEDICARE
3	09-00221	OTHER	UNITED HEALTHCARE
4	4571391	OTHER	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »