Roger L Jackman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R8620 Issued in MO

Practice address

3400 Buttonwood Dr Ste C
Columbia, MO 65201-3720

Phone

(573) 443-0551

Fax

(573) 442-2959

NPI assigned

Sep 15, 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

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786233600000",
    "number": "1366548521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 E BUFFALO DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652026683",
            "telephone_number": "573-214-0008",
            "fax_number": "573-442-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BUTTONWOOD DR STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013720",
            "telephone_number": "573-443-0551",
            "fax_number": "573-442-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "ROGER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay Bhaskar Iyer, MD
• J a Jones OD LLC
• J. Andrew Kramer,O.D.,P.C.
• J. Scott Hays, DC, PC
• Nesreen Jaafar, MD
• Tyler Isaac-Carl Jackman, LCSW
• Jada Jackmon, RBT
• Alexandria Jackson
• Christopher Duane Jackson, M.D.
• Garrett Jackson, MD

• Internal Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; 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.