DR. MARK D JACKSON MD
NPI 1952331019
Internal Medicine - Cardiovascular Disease in Peoria, IL
NPI Status: Active since July 04, 2006
Contact Information
5405 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614
Phone: (309) 691-4410
Fax: (309) 589-2830
- Individual
- Male
- Internal Medicine
- Cardiovascular Disease
About MARK JACKSON
This page provides the complete NPI Profile along with additional information for Mark Jackson, an internist established in Peoria, Illinois with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1952331019 assigned on July 2006. The practitioner's primary taxonomy code is 207RC0000X with license number 036082717 (IL). The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1952331019
- Provider Name
- DR. MARK D JACKSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5405 N KNOXVILLE AVE PEORIA, IL 61614
- Location Phone
- (309) 691-4410
- Location Fax
- (309) 589-2830
- Mailing Address
- 5405 N KNOXVILLE AVE PEORIA, IL 61614
- Mailing Phone
- (309) 691-4410
- Mailing Fax
- (309) 589-2830
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-04-2006
- Last Update Date
- 08-31-2010
- Code Navigator
An internist like Mark Jackson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036082717
- License State
- IL
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E08074 | MEDICARE UPIN (02) | IL | |
| L28116 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 036082717 | MEDICAID (05) | IL |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 139 times for 130 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 37 times for 34 patientsReviews for DR. MARK D JACKSON MD
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1952331019, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
PEORIA, IL 61614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952331019, enumerated as an "individual" on July 04, 2006.
The provider is located at 5405 N KNOXVILLE AVE PEORIA, IL 61614 and the phone number is (309) 691-4410.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
