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Arthur Ray Jackson

Physician β€’ La Porte, TX

Active NPI 1003537929 Individual Practitioner Male Practitioner
Practice location in NPPES

97 Birdie Cir
La Porte, TX 775717277

Call 2818893366 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

97 Birdie Cir

La Porte, TX 775717277

Telephone 2818893366

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-21
Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

License # reported to NPPES TX 11094230

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Non-emergency Medical Transport (VAN) (license number reported to NPPES: TX 11094230)

βœ…
NPI Profile Active September 08, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 08, 2022

Registered at 97 BIRDIE CIR, LA PORTE, TX 775717277 (Tel: 2818893366)

πŸ“
Business Mailing Address (Initial Record) September 08, 2022

Registered at 97 BIRDIE CIR, LA PORTE, TX 775717277 (Tel: 2818893366)

πŸ‘€
Provider Name / Credentials (Initial Record) September 08, 2022

Recorded as ARTHUR JACKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2022

Driver

🟒
Initial NPI Registration & Enumeration September 08, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003537929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2022
Last Update: September 21, 2022
Sole Proprietor: Yes

Mailing Address

97 Birdie Cir

La Porte, TX 775717277

Phone: 2818893366

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.