Stephen J Jackson (NPI# 1164411013, PAC ID# 6204807340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164411013 |
| PAC ID by PECOS | 6204807340 |
| Professional Enrollment ID | I20040805000167 |
| Full Name | Stephen J Jackson |
| Organization Legal Name | DR J JACKSON, INTERNAL MEDICINE, PLLC |
| Address |
4716 S 14th St Abilene TX 79605-4733 |
| Phone Number | 3252328668 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1979 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 5991086167 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450229 | HENDRICK MEDICAL CENTER |
| 450558 | ABILENE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4716 S 14th St, Abilene, TX 79605-4733 | 3252328668 | DR J JACKSON, INTERNAL MEDICINE, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 93% | |
| MIPS_EC_047_overall | Care Plan | 93% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 98% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 98% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | DR J JACKSON, INTERNAL MEDICINE, PLLC |
| Physicians | 1 |
| Street Address |
4716 S 14TH ST |
| City | ABILENE |
| State | TX |
| Zip | 79605-4733 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert K Alexander | Physician Assistant | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Violeta Stevens Baddour | Rheumatology | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Ali Christine Bailey | Qualified Audiologist | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Bonnie H Hayashi | Neurology | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Vincent Leonard Van Acht | Family Medicine | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Diana Armstrong | Nurse Practitioner | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Jeremy B Britten | Orthopedic Surgery | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Regan Polone | Physician Assistant | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Michael Barris | Family Medicine | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Jaime H Gomez | Internal Medicine | West Texas Rehabilitation Center | 4601 Hartford St, Abilene, TX 79605-4603 |
| Find all physicians in zip 79605 | |||
| City | ABILENE |
| Zip Code | 79605 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ABILENE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stephen J Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.