Dr. Robert Andrew Jackson
Foot Surgery
440 Pellis Rd
Greensburg
, Pennsylvania 15601-4529
Dr. Robert Andrew Jackson
Foot Surgery
440 Pellis Rd
Greensburg
, Pennsylvania 15601-4529
(724) 853-9897
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Robert Andrew Jackson
- 440 Pellis Rd
- Greensburg, PA
- Zip : 15601-4529
- Fax : (724) 853-9897
- Phone : (724) 853-9896
Second Address
- Dr. Robert Andrew Jackson
- 440 Pellis Rd
- Greensburg, PA
- Zip : 15601-4529
- Fax : (724) 853-9897
- Phone : (724) 853-9896
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | SC2741L | PA |
National Provider Identifier
| NPI | 1003895608 |
|---|---|
| Provider Name | Dr. Robert Andrew Jackson |
| First Address | Greensburg, PA 15601-4529 |
| Second Address | Greensburg, PA 15601-4529 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 20/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01676810/01 | (05) | PA |
| JA863061 | BLUE SHIELD (01) | PA |
| T53670 | (02) | PA |
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.