Thomas Lane Jackson, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

13825 Issued in NH

Practice address

246 Pleasant St Ste G2
Concord Hospital Center for Urologic Care
Concord, NH 03301-2548

Phone

(603) 224-3388

Fax

(603) 225-3557

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1124043500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST STE G2",
            "address_2": "CONCORD HOSPITAL CENTER FOR UROLOGIC CARE",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-3388",
            "fax_number": "603-225-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST STE G2",
            "address_2": "CONCORD HOSPITAL CENTER FOR UROLOGIC CARE",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-3388",
            "fax_number": "603-225-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "THOMAS",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NH",
            "license": "13825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann E Isenberg, PHD
• Suzy A. Iverson, D.O.
• Diane Jane Jackson, OTR
• Gabbrielle Jackson, MS, CNS
• Latosha M Jackson, LICSW
• Sarah Caitlyn Jacoby, PA-C
• Beth Ann Jacques, AU.D., CCC-A
• Randal F Jacunski, MHS,LADC
• Andrew M Jaffe, MD
• Vanita K Jain, DO

• All providers in Concord, NH
• Urology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.