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Deactivated NPI 1821029398 Deactivated / Inactive NPI Male Practitioner

Dr. David Randall Jackson , MD

Surgery • Leeds, MA

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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. David Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2006
NPI Deactivation Date January 17, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. David Jackson, MD was a registered Surgery practicing in Leeds, MA. Throughout an active medical career spanning 16 years, Dr. Jackson provided care at the practice location at 421 N MAIN ST until profile deactivation on 2022-01-17.

Practice Location & Contact Primary Location

Practice Address

421 N Main St

Leeds, MA 010539764

Telephone 4135844040
Associated Practice Facility / Clinic
🏢 Northampton Vamc Facility NPI 1720046337

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Leeds, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Leeds, MA (1077 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 27331

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ahmad Karagah , MD

Physical Medicine & Rehabilitation

NPI 1003849969

Doctor of Medicine (M.D.)

Mark Fox , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1013150614

Registered Pharmacist

Regina Grant , LCSW

Social Worker - Clinical

NPI 1013346394

Licensed Clinical Social Worker

NPI 1013461532

Doctor of Audiology

Myrna Cronen , SLP

Speech-Language Pathologist

NPI 1023024593

Speech-Language Pathologist

NPI 1023088416

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 17, 2022

Record deactivated on January 17, 2022

NPI Profile Active July 14, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 14, 2007

Registered at 421 N MAIN ST, LEEDS, MA 010539764 (Tel: 4135844040)

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Updated Business Mailing Address July 14, 2007

Registered at 421 N MAIN ST, LEEDS, MA 010539764 (Tel: 4135844040)

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Provider Name / Credentials Updated July 14, 2007

Recorded as DAVID JACKSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2007

Surgery (License #27331 in MA)

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Initial NPI Registration & Enumeration July 05, 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: 1821029398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 14, 2007
Deactivation Date: January 17, 2022

Mailing Address

421 N Main St

Leeds, MA 010539764

Phone: 4135844040

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.