DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DAVID L. JACKSON, M.D., PSC

MEDICARE: DAVID L. JACKSON, M.D., PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician24005KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12300002OTHERKYUNITED HEALTHCARE PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3C66084OTHERKYBLUEGRASS FAMILY HEALTH
4000000050829OTHERKYANTHEM B/C & B/S PIN

General Provider Information

NPI Number : 1811995996
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID L. JACKSON, M.D., PSC
Provider Business Mailing Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number : 859-367-7110
Fax Number : 859-367-7138
Provider Business Practice Location Address
First Line : 2050 VERSAILLES RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-1405
Country : US
Telephone Number : 859-367-7110
Fax Number : 859-367-7138
Authorized Official
Title or Position : PRESIDENT
Name : DAVID L. JACKSON
Credential : M.D.
Telephone Number : 859-367-7110
Provider Enumeration Date : 07/12/2005
Last Update Date : 02/03/2009

Similar Medicare Providers

1629710983 — DR. WILLIAM RANDOPH HARDEN DO
Practice Location Address:
2050 VERSAILLES RD
LEXINGTON, KY
40504-1405
Practice Phone: 872-231-3162
Practice Fax: 702-977-1496
1558204412 — GABRIELLE LOPEZ
Practice Location Address:
2050 VERSAILLES RD
LEXINGTON, KY
40504-1405
Practice Phone: 859-257-4888
Practice Fax: 859-323-1123
1750389847 — DEAN A. ECKERT M.D.
Practice Location Address:
2050 VERSAILLES RD
LEXINGTON, KY
40504-1405
Practice Phone: 859-254-5701
Practice Fax: 859-367-7138
1881799807 — KENTUCKY EASTER SEAL SOCIETY INC
Practice Location Address:
2050 VERSAILLES RD
LEXINGTON, KY
40504-1405
Practice Phone: 859-254-5701
Practice Fax: 859-233-1615
1730269093 — DR. WALTER M. HIGH JR. PHD
Practice Location Address:
2050 VERSAILLES RD
LEXINGTON, KY
40504-1405
Practice Phone: 859-323-0666
Practice Fax: 859-323-1123
1356410732 — DR. WILLIAM JEFFERSON LESTER M.D.
Practice Location Address:
2050 VERSAILLES RD
LEXINGTON, KY
40504-1405
Practice Phone: 606-878-1219
Practice Fax: 606-877-1195

Directions to “DAVID L. JACKSON, M.D., PSC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.