Francis D. Jackson, M.D., P.A.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

D20433 Issued in MD

Practice address

715 Williams St
Cumberland, MD 21502-6390

Phone

(301) 759-3817

Fax

(301) 759-3286

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• F. Daniel Jackson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• F. Daniel Jackson, MD, PA

  • Radiology Clinic/Center
  • Cumberland, MD
  • NPI 1962602458
  NPD (past)
• Labwork LLC

  • Clinical Medical Laboratory
  • Cumberland, MD
  • NPI 1770669376
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1790782563",
    "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": "715 WILLIAMS ST",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026390",
            "telephone_number": "301-759-3817",
            "fax_number": "301-759-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FRANCIS",
        "middle_name": "D.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D20433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305991400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "F.",
            "last_name": "JACKSON",
            "middle_name": "DANIEL",
            "credential": "M.D., P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Inner Compass Counseling Group, LLC
• Inner Light Mental Health
• James Michael Isaac, OTR
• J.L. Murray, D.C.,P.a.
• Lexie Catherine Grimm Jackowski, PA
• William Louis Jackson, RPH
• Rachel Leigh Jacovino, CRNP
• James E. Miller, PH.D., Psychologist, PC
• Jacqueline Javor James, PHARMD
• Pam A Jan

• Diagnostic Radiology Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Diagnostic Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.