Dr. Thomas R Jackson, MD
Pain Medicine, Interventional Pain Medicine in Schenectady, NY. Individual provider (NPI-1).
NPI number1790765667
StatusActive
Last updated in NPPESJul 17, 2025
Details
- NPI
- 1790765667
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas R Jackson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2006
- Certification date
- Jul 17, 2025
- Last updated
- Jul 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | 246110 | NY | Yes |
| 208100000X | Physical Medicine & Rehabilitation | MT179687 | PA | |
| 208100000X | Physical Medicine & Rehabilitation | MD13171 | RI | |
| 208100000X | Physical Medicine & Rehabilitation | 2011-00970 | NC | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | MD13171 | RI |
Practice location
500 State StSchenectady, NY 12305-2414
Phone 518-489-2663
Mailing address
121 Everett RdAlbany, NY 12205-1474
Phone 518-489-2663
Other practice locations
1100 Blythe Blvd
Charlotte, NC 28203-5814
Charlotte, NC 28203-5814
Phone 704-512-4808 · Fax 704-512-4838
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