William Grover Jackson, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

57551 Issued in MA

Practice address

46 Toll Rd
Unit B
Salisbury, MA 01952-1435

Phone

(978) 462-3009

Fax

(978) 462-0177

NPI assigned

Jun 28, 2006

Last updated

Nov 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William G Jackson, M.D., LLC

  • Gastroenterology Physician
  • Salisbury, MA
  • NPI 1821141219
  Authorized official Same address or phone
• River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
  • NPI 1366712002
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1003843590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TOLL RD",
            "address_2": "UNIT B",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019521435",
            "telephone_number": "978-462-3009",
            "fax_number": "978-462-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TOLL RD",
            "address_2": "UNIT B",
            "city": "SALISBURY",
            "state": "MA",
            "postal_code": "019521435",
            "telephone_number": "978-462-3009",
            "fax_number": "978-462-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "WILLIAM",
        "middle_name": "GROVER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "57551",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "57551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harborside Adult Day Health Center
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• Infinity Home Health
• Innate Chiropractic
• Innate Chiropractic Inc.
• Emily Jacobs, MS
• Donna Elaine Johnson, LICSW
• Maura Ann Johnson, M.S.,CCC/SLP
• Kathryn Judd, DPT
• Karen Holmes Physical Therapy, LLC

• Gastroenterology Physician in Salisbury, MA
• Providers in Salisbury, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.