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DR. BILLY MICHAEL JACKSON MD
NPI 1629076864
Surgery in Los Alamos, NM

Active since July 12, 2005
3917 WEST RD, SUITE 150, LOS ALAMOS, NM 87544(505) 662-4351(505) 662-4351 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Billy Michael Jackson Md NPPES

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

DR. BILLY MICHAEL JACKSON MD (NPI 1629076864) is an individual surgery provider in Los Alamos, New Mexico, licensed in New Mexico (72160) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1629076864
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BILLY MICHAEL JACKSONCredential: MD
Location Address3917 WEST RD, SUITE 150Los Alamos, NM 87544
Mailing Address3917 West Rd, Suite 150Los Alamos, NM 87544 · (505) 662-4351 · Fax (505) 662-4351
Phone(505) 662-4351
Fax(505) 662-4351
Sole ProprietorNo
Enumeration DateJuly 12, 2005
Last NPPES UpdateApril 16, 2008
✔ NPI 1629076864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NM · 72160
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3917 WEST RD, Los Alamos, NM 87544
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Other Identifiers 2

Medicare UPIND35724
Medicaid18523NM

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.

PETER M. SHEPARD M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
3917 WEST RD, STE 200
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-4147
DR. LORI S. WHITLEY MD
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-4351
PHC-LOS ALAMOS INC
Emergency Medicine (Emergency Medical Services)
3917 WEST RD
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-3452
DR. RODNEY JAY BARKER MD
Surgery
3917 WEST RD, SUITE #125
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-3030
DR. ANN CAROLYN LINNEBUR MD
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3917 WEST RD, STE G-02
LOS ALAMOS, NM 87544
Los Alamos County (505) 662-0629
DR. MOLLY VOSBURG MD
Internal Medicine
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900
MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO
Internal Medicine (Cardiovascular Disease)
3917 WEST RD, SUITE A
LOS ALAMOS, NM 87544
Los Alamos County (505) 661-8900

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 Billy Jackson's NPI number?

The NPI number for Billy Jackson is 1629076864. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Billy Jackson located?

Billy Jackson practices at 3917 West Rd Suite 150, Los Alamos, NM 87544. The listed phone number is (505) 662-4351.

What is Billy Jackson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Billy Jackson was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.