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James W Jackson JR., MD
Pain Medicine (Anesthesiology) Physician in Louisville, Kentucky
NPI 1063583268

James W Jackson JR. is a Pain Medicine (Anesthesiology) Physician based in Belfast, KY and is specialized in Pain Medicine. James W Jackson JR. practices in Louisville, KY and has the professional credentials of MD. The NPI Number for James W Jackson JR. is 1063583268 and holds a License No. 01062749A (Kentucky).

The current practice location address for James W Jackson JR. is 120 Executive Park, Louisville, KY and can be reached out via phone at 502-855-7200 and via fax at 502-855-7201.

Location: 120 Executive Park, Louisville, KY, 04915-4115
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Provider Profile Details
NPI Number
1063583268
Provider Name
James W Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 Executive Park, Louisville, KY, 04915-4115
Phone Number
502-855-7200
Fax Number
502-855-7201
Provider Enumeration Date
11/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
719905 01 KY WELLCARE OF KY PROVIDER ID
002903176 01 UNITED HEALTHCARE PROVIDER ID NUMBER
9121168 01 AETNA PIN
200872860 05 IN
000000858929 01 ANTHEM PIN
7100003940 05 KY
CS1434500725 01 CARESOURCE ID
135386KYIP 01 KY AETNA BETTER HEALTH OF KY PROVIDER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
120 Executive Park
City
State
Zip
40207
Phone Number
502-855-7200
Fax Number
502-855-7201
person
Provider Business Mailing Address Details
Address
120 Executive Park
City
State
Zip
40207
Phone Number
502-855-7200
Fax Number
502-855-7201
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
License No.
41100 (Kentucky)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
01062749A (Indiana)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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