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CLIFFORD R JACK JR. M.D.
NPI 1821076290
Radiology - Diagnostic Radiology in Rochester, MN

Active since January 05, 2006
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2020, May 1, 2019 (2 updates tracked since 2019).

About Clifford R Jack Jr. M.d. NPPES

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

CLIFFORD R JACK JR. M.D. (NPI 1821076290) is an individual diagnostic radiology provider in Rochester, Minnesota, licensed in Minnesota (28153) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1821076290
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCLIFFORD R JACK JR.Credential: M.D.
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Phone(507) 284-2511
Sole ProprietorNo
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1821076290 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 MN · 28153
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 1ST ST SW, Rochester, MN 55905
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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.

EMILY LEASURE MD
Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NATHANAEL BAILEY
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NICOLE S NIPPER NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
BRANDI D'SOUZA NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. JODI M. MOORE-WEISS OD
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JENNIFER L KERKVLIET MA
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
EMMANUEL J LUJERO CRNA
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JUAN PABLO BRITO CAMPANA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 Clifford Jack's NPI number?

The NPI number for Clifford Jack is 1821076290. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Clifford Jack located?

Clifford Jack practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Clifford Jack'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 Clifford Jack was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.