Jackson Medical Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JACKSON MEDICAL SERVICES

Practice address

17650 Wright St Ste 5
Omaha, NE 68130-2800

Phone

(402) 334-5433

Fax

(402) 333-1037

NPI assigned

Sep 17, 2019

Organization subpart

No

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

Authorized official

Name

Darin E Jackson, MD

Title

Owner

Phone

(402) 334-5433

Specialties & licenses 1

Addresses

Other names 1

• Prestige Medical Rejuvenation Center Doing business as

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1033769559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17650 WRIGHT ST STE 5",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302800",
            "telephone_number": "402-334-5433",
            "fax_number": "402-333-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 WRIGHT ST STE 5",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302800",
            "telephone_number": "402-334-5433",
            "fax_number": "402-333-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-334-5433",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestige Medical Rejuvenation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prestige Medical Rejuvenation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clare Jackman, RN
• Hannah R Jackman
• Paige Elizabeth Jackman
• Paul Anthony Jackman, APRN
• Jackson Consulting LLC
• Rosezerian Jackson-Griffith
• Abigail Jackson, O.D.
• Aletha Joyce Jackson I
• Alexis Marie Jackson
• Amanda Claire Jackson, MD

• General Practice Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.