Active NPIIndividual provider

Dr. Christopher R Jackson, MD

Otolaryngology in Hyannis, Massachusetts

NPI Number1053601765
Practice location
65 Cedar St, Hyannis, MA 02601-3009
Fax
508-790-9754
Last updated
December 21, 2016

Christopher Ryan Jackson is an Otolaryngology based in Hyannis, MA. Christopher Ryan Jackson practices in Hyannis, MA and has the professional credentials of MD. The NPI Number for Christopher Ryan Jackson is 1053601765 and holds a License No. 266924 (MA). The current practice location address for Christopher Ryan Jackson is 65 Cedar St, Hyannis, MA 02601-3009 and can be reached out via phone at 508-790-0611 and via fax at 508-790-9754.

Provider Profile Details

NPI Number
1053601765
Provider Name
Christopher Ryan Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
65 Cedar St, Hyannis, MA 02601-3009
Phone Number
508-790-0611
Fax Number
508-790-9754
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Provider Enumeration Date
April 14, 2011
Last Update Date
December 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Cedar St
Hyannis, MA 02601-3009
Zip
02601-3009
Phone Number
508-790-0611
Fax Number
508-790-9754
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
65 Cedar St
Hyannis, MA 02601-3009
City
Hyannis
State
MA
Zip
02601-3009
Phone Number
508-790-0611
Fax Number
508-790-9754

License Information

License Number
266924
License State
MA
Taxonomy
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Christopher R Jackson, MD?

The NPI number of Dr. Christopher R Jackson, MD is 1053601765. It was assigned on April 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Christopher R Jackson, MD?

Dr. Christopher R Jackson, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in MA under license number 266924.

Where does Dr. Christopher R Jackson, MD practice?

The practice location is 65 Cedar St, Hyannis, MA 02601-3009. The office can be reached at 508-790-0611 (phone) or 508-790-9754 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053601765 directly on the NPPES registry website.

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