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: July 19, 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
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

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.

Allergy & Immunology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Dermatology
3917 WEST RD, SUITE 150
LOS ALAMOS, NM 87544
Internal Medicine
3917 WEST RD, SUITE 138
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, STE 128
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, SUITE 128
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, #128
LOS ALAMOS, NM 87544
Pediatrics
3917 WEST RD, #128
LOS ALAMOS, NM 87544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629076864, enumerated as an "individual" on July 12, 2005.

The provider is located at 3917 WEST RD SUITE 150 LOS ALAMOS, NM 87544 and the phone number is (505) 662-4351.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.