Theodore Jackson, M.D.
NPI 1942294376 belongs to Theodore Jackson, M.D., a plastic surgery physician with a practice location in Charleston, WV. The NPI was issued on August 31, 2005, and the record was last updated in NPPES on March 12, 2009. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2009. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician Primary | 208200000X | 13531 (WV) |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 13531 (WV) |
Practice location
Local context
Active NPPES records list 15 providers with plastic surgery physician as the primary taxonomy within 25 miles of this practice location's ZIP code.
The same primary taxonomy is listed by 36 in West Virginia and 8,908 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Dr. Theodore A. Jackson
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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