Dr. Jerry S Jackson
Podiatrist Sports Medicine Foot & Ankle Surgery
300 Aztec St
Montezuma
, Kansas 67867
Dr. Jerry S Jackson
Podiatrist Sports Medicine Foot & Ankle Surgery
300 Aztec St
Montezuma
, Kansas 67867
(502) 254-4069
Write a Review Share Save Call
About
Features
Specialties
- Podiatrist
- Sports Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jerry S Jackson
- 12910 Shelbyville Rd Suite 300
- Louisville, KY
- Zip : 40243-1593
- Fax : (502) 254-4069
- Phone : (502) 244-2441
Second Address
- Dr. Jerry S Jackson
- 300 Aztec St
- Montezuma, KS
- Zip : 67867
- Phone : (855) 259-9183
Reviews
FAQs
Where did Dr. Jerry S Jackson attend graduate school?
Where did Dr. Jerry S Jackson do his residency?
Where did Dr. Jerry S Jackson do his fellowship?
Is Dr. Jerry S Jackson board certified?
What type of doctor is Dr. Jerry S Jackson
In what state does Dr. Jerry S Jackson practice in?
Where is Dr. Jerry S Jackson ’s practice located?
What is Dr. Jerry S Jackson ’s gender?
Is Dr. Jerry S Jackson a sole practitioner?
Is Dr. Jerry S Jackson accepting new patients?
What languages does Dr. Jerry S Jackson speak?
Does Dr. Jerry S Jackson accept insurance?
Does Dr. Jerry S Jackson offers telemedicine?
What is Dr. Jerry S Jackson ’s professional license number?
What is Dr. Jerry S Jackson ’s NPI number?
Does Dr. Jerry S Jackson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 145 | KS |
| Y | 222Z00000X | Podiatrist | 145 | KS |
| N | 2081S0010X | Sports Medicine | 145 | KS |
| N | 213ES0000X | Sports Medicine | 145 | KS |
| N | 213ES0103X | Foot & Ankle Surgery | 145 | KS |
National Provider Identifier
| NPI | 1154423234 |
|---|---|
| Provider Name | Dr. Jerry S Jackson |
| First Address | Louisville, KY 40243-1593 |
| Second Address | Montezuma, KS 67867 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 12/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100094110B | (05) | MO |
| 1154423234 | (05) | MO |
| T77063 | (02) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.