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Deactivated NPI 1033157300 Deactivated / Inactive NPI Female Practitioner

Dr. Hazel E Jackson , DO

Acupuncturist • Silver Spring, MD

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hazel Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 02, 2006
NPI Deactivation Date June 14, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Hazel Jackson, DO was a registered Acupuncturist practicing in Silver Spring, MD. Throughout an active medical career spanning 13 years, Dr. Jackson provided care at the practice location at 1111 SPRING STREET until profile deactivation on 2019-06-14.

Historical Medicare Part B clinical services included anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1111 Spring Street
218

Silver Spring, MD 20910

Telephone 3018013043

Specialty Benchmarks & Practice Insights

Comparative analytics for Acupuncturist in Silver Spring, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.7 Yrs
Regional Practice Density
93 Specialists

Practicing in Silver Spring, MD (1213 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
47 45 $1326.69 $101.28
00811 Anesthesia for procedure on large bowel using an endoscope
41 41 $1155.03 $87.85
00813 Anesthesia for procedure on small and large bowel using an endoscope
34 34 $1415.16 $107.07
01936 Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord
24 14 $1771.72 $143.60
00142 Anesthesia for lens surgery
11 11 $2006.68 $152.08

Medical Specialties & State Licenses

Acupuncturist Primary Specialty

NUCC Taxonomy Code: 171100000X

State License MD H45681

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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NPI Profile Deactivated June 14, 2019

Record deactivated on June 14, 2019

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Anesthesiology (License #H45681 in MD)

NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2017

Registered at 3508 BERET LN, SILVER SPRING, MD 209063028 (Tel: 3018013043)

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Updated Business Mailing Address March 24, 2017

Registered at 3508 BERET LN, SILVER SPRING, MD 209063028

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Provider Name / Credentials Updated March 24, 2017

Recorded as HAZEL JACKSON, D.O

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Anesthesiology (License #H45681 in MD)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Acupuncturist (License #H45681 in MD)

NPI Profile Active October 18, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 18, 2010

Registered at 1111 SPRING STREET, 218, SILVER SPRING, MD 20910 (Tel: 3018013043)

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Updated Business Mailing Address October 18, 2010

Registered at 3508 BERET LN, SILVER SPRING, MD 209063028

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Provider Name / Credentials Updated October 18, 2010

Recorded as HAZEL JACKSON, D.O

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2010

Acupuncturist (License #H45681 in MD)

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Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033157300
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: October 18, 2010
Deactivation Date: June 14, 2019

Mailing Address

3508 Beret Ln

Silver Spring, MD 209063028

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.