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Dr. Mark R. Jackson
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NPI Number Detailed Information
Provider Information:
Name: | Dr. Mark R. Jackson |
Gender: | M |
Provider License Number If Given: | 5929640-1205 |
NPI Information:
NPI: | 1003877077 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 3/30/2006 |
Last Update Date: | 3/21/2016 |
Provider Business Mailing Address:
Address: | 1474 E ERDA WAY Tooele, UT 84074 |
Phone Number: | 4358490779 |
Fax Number: |
Provider Business Practice Location Address:
Address: | 1474 E ERDA WAY Tooele, UT 84074 |
Phone Number: | 4358490779 |
Fax Number: |
Provider Taxonomy:
Primary: | 207PE0004X |
Secondary (if any): | |
State: | UT |
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About Dr. Mark R. Jackson
Dr. Mark R. Jackson (DR. MARK R. JACKSON ) is An Emergency Medicine Physician in Tooele, UT.
The NPI Number for Dr. Mark R. Jackson is 1003877077.
The current location address for Dr. Mark R. Jackson is 1474 E ERDA WAY Tooele, UT 84074 and the contact number is 4358490779 and fax number is .
The mailing address for Dr. Mark R. Jackson is 1474 E ERDA WAY Tooele, UT 84074- 4358490779 (mailing address contact number - 4358490779).
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Provider Business Location on Map
FAQs:
What is the NPI Number for Dr. Mark R. Jackson ?
Answer: The NPI Number for Dr. Mark R. Jackson is 1003877077
Where is Dr. Mark R. Jackson located?
Answer: Dr. Mark R. Jackson is located at 1474 E ERDA WAY Tooele, UT 84074.
What is the specialty for Dr. Mark R. Jackson ?
Answer: The Specialty of Dr. Mark R. Jackson is An Emergency Medicine Physician.
Are there any online reviews for Dr. Mark R. Jackson ?
Answer: Not yet!
Are there any other health care providers in Tooele, UT?
Answer: Yes, there are given below...
Medicare Physician & Other Practitioners
Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Mark R. Jackson
Medicare Part D Prescribers
Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.
Provider Specialty Type | Emergency Medicine |
Source of Provider Specialty | |
Number of Medicare Part D Claims, Including Refills | 86 |
Number of Standardized 30-Day Fills | 86 |
Aggregate Cost Paid for All Claims | 1403.23 |
Number of Day's Supply for All Claims | 811 |
Number of Medicare Beneficiaries | 59 |
Number of Claims, Including Refills, for Beneficiaries Age 65+ | 61 |
Including Refills, for Beneficiaries Age 65+ | 61 |
Beneficiaries Age 65+ | 1073.18 |
Number of Day's Supply for All Claims for Beneficaries Age 65+ | 591 |
Number of Medicare Beneficiaries Age 65+ | 42 |
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst | * |
Total Claims of Brand-Name Drugs | |
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst | |
Total Claims of Generic Drugs, Including Refills | 80 |
Aggregate Cost Paid for Generic Drugs | 880.03 |
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst | # |
Total Claims of Other Drugs, Including Refills | |
Aggregate Cost Paid for Other Drugs | |
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by MAPD Plans | 31 |
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans | 252.15 |
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Standalone PDP Plans | 55 |
Aggregate Cost Paid for Claims Filled by | 1151.08 |
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst | |
Number of Claims for Beneficiaries Covered by Low-Income Subsidy | 42 |
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy | 492.82 |
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst | |
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy | 44 |
by Low-Income Subsidy | 910.41 |
Total Claims of Opioid Drugs, Including | 15 |
Aggregate Cost Paid for Opioid Drugs | 48.37 |
Opioid Claims | 15 |
Opioid_Tot_Clms divided by the Tot_Clms | 17.441860465 |
Total Claims of Long-Acting Opioid Drugs | 0 |
Aggregate Cost Paid for Long-Acting Opioid | 0 |
Number of Day's Supply of All Long-Acting | 0 |
Long-Acting Opioid Claims | 0 |
Opioid_LA_Tot_Clms divided by the | 0 |
Total Claims of Antibiotic Drugs, Including | 23 |
Aggregate Cost Paid for Antibiotic Drugs | 217.02 |
Antibiotic Claims | 23 |
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst | |
Including Refills, for Beneficiaries Age 65+ | 0 |
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ | 0 |
Reason for Suppression of Antpsyct_GE65_Tot_Benes | |
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims | 0 |
Average Age of Beneficiaries | 69.93220339 |
Number of Beneficiaries Age Less Than 65 | |
Number of Beneficiaries Age 65 to 74 | 17 |
Number of Beneficiaries Age 75 to 84 | 18 |
Number of Female Beneficiaries | 48 |
Number of Male Beneficiaries | 11 |
Number of Non-Hispanic White | 39 |
Number of Black or African American | 18 |
Number of Asian Pacific Islander | |
Number of Hispanic Beneficiaries | |
Number of American Indian/Alaskan NativeBeneficiaries | 0 |
Number of Beneficiaries with Race Not | 0 |
Only Entitlement | 33 |
Average Hierarchical Condition Category | 1.5298089117 |
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Dr. Jim J Gould
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Dr. Carolyn Forbes
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Address: 2376 N 400 E STE 102 Tooele, UT 84074 , Phone: 4358431225
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Address: 1929 AARON DR SUITE I Tooele, UT 84074 , Phone: 4358330229
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Address: 1929 AARON DR SUITE I Tooele, UT 84074 , Phone: 4358330229
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Address: 2376 NORTH 400 EAST BUILDING A SUITE 101 Tooele, UT 84074 , Phone: 4358438333
Meier & Marsh Professional
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Address: 2356 N 400 E SUITE 101 Tooele, UT 84074 , Phone: 4358431311
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Address: 2356 N 400 E SUITE 101 Tooele, UT 84074 , Phone: 4358431311
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Address: 2321 N 400 E STE 300 Tooele, UT 84074 , Phone: 4358339180
Ms. Sarah J Johnson
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Address: 2376 N 400 E STE 204 NORTHPOINTE MEDICAL PARK Tooele, UT 84074 , Phone: 4358821433
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Address: 2376 N 400 E STE 204 NORTHPOINTE MEDICAL PARK Tooele, UT 84074 , Phone: 4358821433
Mr. Kyle H Jones
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Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
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Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
Mark E Wilson
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Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
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Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
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Address: 1198 N MAIN ST Tooele, UT 84074 , Phone: 4358434373
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Address: 300 S MAIN ST Tooele, UT 84074 , Phone: 4358823233
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Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
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Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
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Address: 151 N MAIN ST Tooele, UT 84074 , Phone: 4358432310
Dr. Daniel L Hibbert
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Address: 2376 N 400 E STE 104 Tooele, UT 84074 , Phone: 4358820071
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Address: 2376 N 400 E STE 104 Tooele, UT 84074 , Phone: 4358820071
Dr. Michael Scott Bean
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Address: 99 W 1280 N Tooele, UT 84074 , Phone: 4358339043
Optometrist
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Address: 99 W 1280 N Tooele, UT 84074 , Phone: 4358339043
Dr. William Hickman
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NPI Number: 1356458053
Address: 181 W VINE ST Tooele, UT 84074 , Phone: 4358820099
Massage Therapist
NPI Number: 1356458053
Address: 181 W VINE ST Tooele, UT 84074 , Phone: 4358820099
Kip C Porter
Chiropractor
NPI Number: 1770691370
Address: 275 S MAIN ST Tooele, UT 84074 , Phone: 4358330977
Chiropractor
NPI Number: 1770691370
Address: 275 S MAIN ST Tooele, UT 84074 , Phone: 4358330977
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Chiropractor
NPI Number: 1669580189
Address: 275 S MAIN ST Tooele, UT 84074 , Phone: 4358330977
Chiropractor
NPI Number: 1669580189
Address: 275 S MAIN ST Tooele, UT 84074 , Phone: 4358330977
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NPI Number: 1851400576
Address: 188 N MAIN ST Tooele, UT 84074 , Phone: 4352281003
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NPI Number: 1851400576
Address: 188 N MAIN ST Tooele, UT 84074 , Phone: 4352281003
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Address: 972 N MAIN ST Tooele, UT 84074 , Phone: 4358438821
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Address: 972 N MAIN ST Tooele, UT 84074 , Phone: 4358438821
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Address: 1204 N MAIN ST Tooele, UT 84074 , Phone: 4358828600
General Practice Dentistry
NPI Number: 1629188172
Address: 1204 N MAIN ST Tooele, UT 84074 , Phone: 4358828600
Jed L Crowton
Physical Therapist
NPI Number: 1285736041
Address: 29 SOUTH MAIN ST Tooele, UT 84074 , Phone: 4358437466
Physical Therapist
NPI Number: 1285736041
Address: 29 SOUTH MAIN ST Tooele, UT 84074 , Phone: 4358437466
Jill Thurber
Physical Therapist
NPI Number: 1336242924
Address: 29 SOUTH MAIN ST Tooele, UT 84074 , Phone: 4358437466
Physical Therapist
NPI Number: 1336242924
Address: 29 SOUTH MAIN ST Tooele, UT 84074 , Phone: 4358437466
Craig Aaron Packham
Medical Physician Assistant
NPI Number: 1104920354
Address: 2356 N 400 E STE 102 Tooele, UT 84074 , Phone: 4358339180
Medical Physician Assistant
NPI Number: 1104920354
Address: 2356 N 400 E STE 102 Tooele, UT 84074 , Phone: 4358339180
Associates For Inpatient Medicine
Internal Medicine Physician
NPI Number: 1619074986
Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 8014637415
Internal Medicine Physician
NPI Number: 1619074986
Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 8014637415
Charles E Holt
Family Medicine Physician
NPI Number: 1689772519
Address: 280 N MAIN ST Tooele, UT 84074 , Phone: 4358828610
Family Medicine Physician
NPI Number: 1689772519
Address: 280 N MAIN ST Tooele, UT 84074 , Phone: 4358828610
Standard Optical Co
Optometrist
NPI Number: 1477654846
Address: 196 E 2000 N SUITE 101 Tooele, UT 84074 , Phone: 8012555454
Optometrist
NPI Number: 1477654846
Address: 196 E 2000 N SUITE 101 Tooele, UT 84074 , Phone: 8012555454
Matthew A. Smith
Certified Registered Nurse Anesthetist
NPI Number: 1114011905
Address: 2055 N MAIN ST. Tooele, UT 84074 , Phone: 4358433600
Certified Registered Nurse Anesthetist
NPI Number: 1114011905
Address: 2055 N MAIN ST. Tooele, UT 84074 , Phone: 4358433600
Dr. Lowell Kaye Anderson
Oral and Maxillofacial Surgery (Dentist)
NPI Number: 1326135203
Address: 181 W VINE DR LOWELL ANDERSON Tooele, UT 84074 , Phone: 4358828800
Oral and Maxillofacial Surgery (Dentist)
NPI Number: 1326135203
Address: 181 W VINE DR LOWELL ANDERSON Tooele, UT 84074 , Phone: 4358828800
Dr. An Tuong Dinh
Family Medicine Physician
NPI Number: 1144319997
Address: 210 MILLPOND Tooele, UT 84074 , Phone: 4358433647
Family Medicine Physician
NPI Number: 1144319997
Address: 210 MILLPOND Tooele, UT 84074 , Phone: 4358433647
Wal-Mart Stores, Inc
Optician
NPI Number: 1912096405
Address: 99 W 1280 N Tooele, UT 84074 , Phone: 4358339017
Optician
NPI Number: 1912096405
Address: 99 W 1280 N Tooele, UT 84074 , Phone: 4358339017
Mr. Dean Dennis Severson
Certified Registered Nurse Anesthetist
NPI Number: 1972683498
Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
Certified Registered Nurse Anesthetist
NPI Number: 1972683498
Address: 2055 N MAIN ST Tooele, UT 84074 , Phone: 4358433600
Dr. Mark R. Jackson in Other Directories
Provider don't have other directory link yet.