NPIMap

Organization Active NPI

F Daniel Jackson, MD, PA

  • Primary Care Clinic/Center
  • Cumberland, MD
National Provider Identifier
1174532238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
F DANIEL JACKSON, MD, PA
Practice address
130 Pennsylvania Ave
Cumberland, MD 21502-4236
Phone
(301) 759-2666
Fax
(301) 759-2841
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. F Daniel Jackson, M.D.
Title
President
Phone
(301) 759-3817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

130 Pennsylvania Ave
Cumberland, MD 21502-4236

Mailing address

PO Box 1692
Cumberland, MD 21501-1692
Phone (301) 759-3817

National Provider Directory

National Provider Directory
Tax ID family
F Daniel Jackson MD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174532238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1692",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215011692",
            "telephone_number": "301-759-3817",
            "fax_number": "301-759-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PENNSYLVANIA AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024236",
            "telephone_number": "301-759-2666",
            "fax_number": "301-759-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F DANIEL JACKSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "F",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-759-3817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.