Mark Jackson, M.D.
NPI 1114956562 · Diagnostic Radiology Physician · Phoenix, AZ
Mark Jackson, M.D. is a Diagnostic Radiology Physician provider in Phoenix, AZ (NPI 1114956562).
Provider details
- NPI number
- 1114956562
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 15432 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2007-07-08
Frequently asked questions
- What is Mark Jackson's NPI number?
- Mark Jackson's National Provider Identifier (NPI) is 1114956562, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Jackson's specialty?
- Mark Jackson is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Jackson located?
- Mark Jackson's practice location on file with NPPES is 11209 N Tatum Blvd, Phoenix, AZ 85028-3091.
- What is Mark Jackson's phone number?
- The practice phone number listed in the NPPES registry for Mark Jackson is (602) 248-8002.
- Is Mark Jackson's NPI active?
- Yes — Mark Jackson's NPI (1114956562) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.