Dr. Martha A Jackson
Podiatrist
2501 Crestwood Rd Suite 101
North Little Rock
, Arkansas 72116-7615
Dr. Martha A Jackson
Podiatrist
2501 Crestwood Rd Suite 101
North Little Rock
, Arkansas 72116-7615
(501) 771-4787
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Martha A Jackson
- 2501 Crestwood Rd Suite 101
- North Little Rock, AR
- Zip : 72116-7615
- Fax : (501) 771-4787
- Phone : (501) 771-4785
Second Address
- Dr. Martha A Jackson
- 2501 Crestwood Rd Suite 101
- North Little Rock, AR
- Zip : 72116-7615
- Fax : (501) 771-4787
- Phone : (501) 771-4785
Reviews
FAQs
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Is Dr. Martha A Jackson a sole practitioner?
Is Dr. Martha A Jackson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 87 | AR |
| Y | 222Z00000X | Podiatrist | 87 | AR |
National Provider Identifier
| NPI | 1053372946 |
|---|---|
| Provider Name | Dr. Martha A Jackson |
| First Address | North Little Rock, AR 72116-7615 |
| Second Address | North Little Rock, AR 72116-7615 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/03/2006 |
| Last Update Date | 14/07/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0580220001 | PALMETTO DME (01) | |
| 110420717 | (05) | AR |
| 16253000040 | QUAL CHOICE (01) | AR |
| 2720028 | UNITED HEALTH CARE (01) | |
| 56243 | AR BCBS (01) | AR |
| 56243 | FEP BCBS (01) | AR |
| 56243 | FIRST SOURCE (01) | AR |
| 56243 | HEALTH ADVANTAGE (01) | AR |
| 5997156 | AETNA (01) | |
| 9468520001 | CIGNA (01) | |
| T20358 | (02) |
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.