DR. MARK L JACKSON M.D.
NPI 1114956562
Radiology - Diagnostic Radiology in Phoenix, AZ

Active since June 30, 2006
11209 N TATUM BLVD, SUITE 110, PHOENIX, AZ 85028(602) 248-8002(602) 248-8399 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark L Jackson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK L JACKSON M.D. (NPI 1114956562) is an individual diagnostic radiology provider in Phoenix, Arizona, licensed in Arizona (15432) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1114956562
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MARK L JACKSONCredential: M.D.
Location Address11209 N TATUM BLVD, SUITE 110Phoenix, AZ 85028-3091
Mailing AddressPo Box 14687Scottsdale, AZ 85267-4687 · (480) 991-8100 · Fax (480) 992-1028
Fax(602) 248-8399
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJune 21, 2026
NPI 1114956562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in AZ · 15432
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

11209 N TATUM BLVD, Phoenix, AZ 85028

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE #110
PHOENIX, AZ 85028
Internal Medicine (Hematology & Oncology)
11209 N TATUM BLVD, SUITE 260
PHOENIX, AZ 85028
Radiology (Diagnostic Radiology)
11209 N TATUM BLVD, SUITE # 110
PHOENIX, AZ 85028
Family Medicine
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028
Nurse Practitioner (Family)
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028
Family Medicine
11209 N TATUM BLVD, 175
PHOENIX, AZ 85028
Internal Medicine (Medical Oncology)
11209 N TATUM BLVD, SUITE 260
PHOENIX, AZ 85028
Family Medicine
11209 N TATUM BLVD, SUITE 180
PHOENIX, AZ 85028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Jackson's NPI number?

The NPI number for Mark Jackson is 1114956562. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Mark Jackson located?

Mark Jackson practices at 11209 N Tatum Blvd Suite 110, Phoenix, AZ 85028. The listed phone number is (602) 248-8002.

What is Mark Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark Jackson was last updated on June 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.