Richard T Jackson

MD | Orthopedic Surgery


  
1055 N 500 W, Suite 121, Provo
Utah, 84604-3305

 801-373-7350     801-812-5401Maps & Directions
Richard T Jackson is a Provo, Utah based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Richard T Jackson is 158498-1205 for Orthopedic Surgery in Utah.
Richard T Jackson is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Richard T Jackson speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Orthopedic Surgery
Credentials: MD
Gender:Male
Practice Address:1055 N 500 W, Suite 121, Provo,
Utah, 84604-3305
Phone:801-373-7350
Fax:801-812-5401

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1144323163
NPI Enumeration Date: 06 Sep, 2006
NPI Last Update On: 27 Nov, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard T Jackson are as mentioned below.
License NumberSpecializationStateStatus
158498-1205Orthopedic Surgery UtahPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Richard T Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
36165OtherUtahDMBA
870281028000MedicaidUtah
870281028RCHOtherUtahEMIA
QM000056630OtherUtahALTIUS
107004917104OtherUtahIHC
09-00376OtherUtahUTAH HEALTHCARE
20045125OtherUtahPALMETTO
68073OtherUtahPEHP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1055 N 500 W, Credentialing Department
Provo, Utah
Zip: 84604-3305
Phone Number: 801-354-8225
Fax Number: 801-418-0941
Patients can reach Richard T Jackson at 1055 N 500 W, Suite 121, Provo, Utah or can call to book an appointment on 801-373-7350. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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