Robert K Jackson (NPI# 1164442406, PAC ID# 6103863899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1164442406 |
| PAC ID by PECOS | 6103863899 |
| Professional Enrollment ID | I20080926000071 |
| Full Name | Robert K Jackson |
| Organization Legal Name | R. KIRK JACKSON, M.D., P.A. |
| Address |
82 Thomas Johnson Ct Frederick MD 21702-4348 |
| Phone Number | 3016982440 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 1254408628 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210005 | FREDERICK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 82 Thomas Johnson Ct, Frederick, MD 21702-4348 | 3016982440 | R. KIRK JACKSON, M.D., P.A. |
| Organization Legal Name | R. KIRK JACKSON, M.D., P.A. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jong C Yoon | Otolaryngology | R. Kirk Jackson, M.d., P.a. | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 |
| Cathy S Fleschner | Qualified Audiologist | R. Kirk Jackson, M.d., P.a. | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 |
| Lori Alessi | Qualified Audiologist | R. Kirk Jackson, M.d., P.a. | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 |
| Street Address |
82 THOMAS JOHNSON CT |
| City | FREDERICK |
| State | MD |
| Zip | 21702-4348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jong C Yoon | Otolaryngology | R. Kirk Jackson, M.d., P.a. | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 |
| Cathy S Fleschner | Qualified Audiologist | R. Kirk Jackson, M.d., P.a. | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 |
| Lori Alessi | Qualified Audiologist | R. Kirk Jackson, M.d., P.a. | 82 Thomas Johnson Ct, Frederick, MD 21702-4348 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kumudhini Hendrix | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Thomas S Davis | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Debra L Clise | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Lise Ricotta Asaro | Anesthesiology | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Susan M Allig | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Alan S Bronstein | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia Maryland LLC | 45 Thomas Jefferson Dr, Frederick, MD 21702 |
| Jennifer Lyn Chen | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Dawn Renee Gill | Optometry | Longmeadow Optical, Ltd | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 |
| Allen Gilson | Pulmonary Disease | 6695 Stone Ridge Ct, Frederick, MD 21702-2989 | |
| Gary E Schreiber | Chiropractic | 1446 W Patrick St, Suite 14, Frederick, MD 21702-3277 | |
| Find all physicians in zip 21702 | |||
| City | FREDERICK |
| Zip Code | 21702 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FREDERICK + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Robert K 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.