Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093867723 Individual Practitioner Male Practitioner

John Thomas Jackson , LMP

Specialist • Des Moines, WA

Professional Overview & Biography Verified Profile Summary

John Jackson, LMP is a registered healthcare professional specializing in Specialist in Des Moines, WA. Practice services are available at 22007 MARINE VIEW DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22007 Marine View Dr S
Suite 104

Des Moines, WA 981986259

Telephone 2065921423
Fax 2065921428

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Des Moines, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Des Moines, WA (2751 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 Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00005314

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jerome Scanlon , PT

Physical Therapist

NPI 1760546139

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 22007 MARINE VIEW DR S, SUITE 104, DES MOINES, WA 981986259 (Tel: 2065921423)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 98530, DES MOINES, WA 981980530 (Tel: 2065921423)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN JACKSON, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #MA00005314 in WA)

🟢
Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093867723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 98530

Des Moines, WA 981980530

Phone: 2065921423

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.