Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619905072 Individual Practitioner Female Practitioner

Dr. Pamela Lee Jackson , MD

Pediatrics • Williston, VT

Professional Overview & Biography Verified Profile Summary

Dr. Pamela Jackson, MD is a registered healthcare professional specializing in Pediatrics in Williston, VT. Practice services are available at 353 BLAIR PARK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

353 Blair Park Rd

Williston, VT 054957530

Telephone 8028471440
Fax 8028473014
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Williston, VT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Williston, VT (186 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VT 42-0008559

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
OVN0393 (VT)
Medicaid State Provider ID
E01148865 (NY)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1194016956

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1215952890

Doctor of Medicine (M.D.)

NPI 1306865183

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2015

Registered at 353 BLAIR PARK RD, WILLISTON, VT 054957530 (Tel: 8028471440)

📍
Updated Business Mailing Address January 08, 2015

Registered at 4 HARBOR RIDGE RD, SOUTH BURLINGTON, VT 054037849 (Tel: 8028638962)

👤
Provider Name / Credentials Updated January 08, 2015

Recorded as PAMELA JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Pediatrics (License #42-0008559 in VT)

🟢
Initial NPI Registration & Enumeration June 28, 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: 1619905072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2006
Last Update: January 08, 2015
Sole Proprietor: No

Mailing Address

4 Harbor Ridge Rd

South Burlington, VT 054037849

Phone: 8028638962

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.