NPIMap

Organization Active NPI

Dr. Howard C. Jackson, Inc.

  • Family Medicine Physician
  • Madison, IN
National Provider Identifier
1578741484
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01019775 Issued in IN
Legal business name
DR. HOWARD C. JACKSON, INC.
Practice address
606 E Main St
Madison, IN 47250-4708
Phone
(812) 265-2592
Fax
(812) 265-5604
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Howard Clay Jackson Jr., M.D
Title
President
Phone
(812) 265-2592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01019775 IN Primary

Addresses

Primary practice location

606 E Main St
Madison, IN 47250-4708

Mailing address

606 E Main St
Madison, IN 47250-4708
Phone (812) 265-2592

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1578741484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 E MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504708",
            "telephone_number": "812-265-2592",
            "fax_number": "812-265-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 E MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472504708",
            "telephone_number": "812-265-2592",
            "fax_number": "812-265-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HOWARD C. JACKSON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-265-2592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01019775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.