MEDICARE: DR. MARTHA A JACKSON DPM

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
1	213E00000X	Podiatrist	87	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16253000040	OTHER	AR	QUAL CHOICE
2	5997156	OTHER		AETNA
3	0580220001	OTHER		PALMETTO DME
4	9468520001	OTHER		CIGNA
5	2720028	OTHER		UNITED HEALTH CARE
6	56243	OTHER	AR	FEP BCBS
7	56243	OTHER	AR	FIRST SOURCE
8	56243	OTHER	AR	AR BCBS
9	56243	OTHER	AR	HEALTH ADVANTAGE
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053372946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA A JACKSON DPM

Provider Business Mailing Address
First Line	:	2501 CRESTWOOD RD
Second Line	:	SUITE 101
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7615
Country	:	US
Telephone Number	:	501-771-4785
Fax Number	:	501-771-4787

Provider Business Practice Location Address
First Line	:	2501 CRESTWOOD RD
Second Line	:	SUITE 101
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7615
Country	:	US
Telephone Number	:	501-771-4785
Fax Number	:	501-771-4787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	07/14/2020

Similar Medicare Providers

1407907165 — DR. PEDER J JENSEN D.M.D.
Practice Location Address:

2501 CRESTWOOD RD STE 102
NORTH LITTLE ROCK, AR
72116-7615

Practice Phone: 501-758-6182
Practice Fax: 501-758-6184

1942795216 — SHELLEY RENE SANFORD DDS
Practice Location Address:

2501 CRESTWOOD RD STE 103
NORTH LITTLE ROCK, AR
72116-7615

Practice Phone: 501-758-3393
Practice Fax: 501-758-4346

1265001606 — MUHAMMAD ABDULLAH MURAD
Practice Location Address:

2501 CRESTWOOD RD STE 103
NORTH LITTLE ROCK, AR
72116-7615

Practice Phone: 501-758-3393
Practice Fax: 501-758-4346

1235867300 — EDWARD A SHARRER DPM PLLC
Practice Location Address:

2501 CRESTWOOD RD STE 101
NORTH LITTLE ROCK, AR
72116-7615

Practice Phone: 501-771-4785
Practice Fax: 501-771-4787

1922324821 — MS. MOLLIE R JERMAN ARNP
Practice Location Address:

7615 LITTLE RD
NEW PORT RICHEY, FL
34654-5525

Practice Phone: 727-845-8080
Practice Fax:

1336674589 — JOI MAINOO RN, ATC, LAT
Practice Location Address:

2789 SUNLIGHT DR
LITTLE ELM, TX
75068-7615

Practice Phone: 469-952-8215
Practice Fax:

Directions to “ DR. MARTHA A JACKSON DPM” 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.