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Deactivated NPI 1518185909 Deactivated / Inactive NPI Male Practitioner

Michael S. Jackson , CSA

Specialist/Technologist, Other - Surgical Assistant • Reno, NV

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

Registration / Start Date April 23, 2007
NPI Deactivation Date October 16, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Michael Jackson, CSA was a registered Specialist/Technologist, Other - Surgical Assistant practicing in Reno, NV. Throughout an active medical career spanning 18 years, Michael Jackson provided care at the practice location at 2739 CHAVEZ DR until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

2739 Chavez Dr

Reno, NV 895024982

Telephone 7753293188
Fax 7758280580
Associated Practice Facility / Clinic
🏢 Sierra Surgical Assisting Facility NPI 1003214909

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other - Surgical Assistant in Reno, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Reno, NV (53 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

Specialist/Technologist, Other - Surgical Assistant Primary Specialty

NUCC Taxonomy Code: 246ZC0007X

State License DC 1700

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated October 16, 2025

Record deactivated on October 16, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2025

Specialist/Technologist, Other

NPI Profile Active December 09, 2014

NPI status registered as active in NPPES database

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Updated Practice Location December 09, 2014

Registered at 2739 CHAVEZ DR, RENO, NV 895024982 (Tel: 7753293188)

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Updated Business Mailing Address December 09, 2014

Registered at PO BOX 70303, RENO, NV 895700303 (Tel: 7752501564)

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Provider Name / Credentials Updated December 09, 2014

Recorded as MICHAEL JACKSON, C.S.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2014

Specialist/Technologist, Other (License #1700 in DC)

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Initial NPI Registration & Enumeration April 23, 2007

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: 1518185909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: December 09, 2014
Deactivation Date: October 16, 2025

Mailing Address

Po Box 70303

Reno, NV 895700303

Phone: 7752501564

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.