Pamela E. Jackson, MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035139 Issued in CT

Legal business name

PAMELA E. JACKSON, MD LLC

Practice address

9 Mott Ave
Suite 304
Norwalk, CT 06850-3330

Phone

(203) 939-1541

Fax

(203) 939-1545

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pamela E Jackson, MD

Title

MD

Phone

(203) 939-1541

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1538477294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "SUITE 304",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-939-1541",
            "fax_number": "203-939-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "SUITE 304",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503330",
            "telephone_number": "203-939-1541",
            "fax_number": "203-939-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA E. JACKSON, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-939-1541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "035139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neelu Pal, MD
• Linda Palermo, LMFT, PH.D.
• Cornelia Palladino, PA-C
• Angelina Pallam
• Pallimd, PLLC
• Marybeth Pamias, LADC
• Vasilios Panagiotidis, RPH
• Katharine Panagiotou
• Veena Panduranga, M.D.
• Louise V Paniagua

• Internal Medicine Physician in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.