National Provider Identifier Database

SHAWN B JACKSON, M,D, – NPI #1730258708
Anatomic Pathology & Clinical Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.


Contact Information

SHAWN B JACKSON, M,D,
1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO65807-5180
Phone: 417-269-4646
Fax:
Website:
Specialty Taxonomy Code
* Anatomic Pathology & Clinical Pathology 207ZP0102X
Dermatopathology 207ZD0900X

* Indicates primary specialty

NPI Profile & details for SHAWN B JACKSON

NPI Number 1730258708
Credentials M,D,
Entity Individual
Enumeration date 11/06/2006
Last updated 01/02/2026 - About 5 months ago
Sole proprietor1 No
Identifiers
  • MO License #: 2005005716
  • MO Medicaid: 700100407
  • MO Medicaid: 705866705
  • MO Other: 1559 BLUECROSSBLUESHIELD-PATHO
  • MO Other: 159012 BLUECROSSBLUESHIELD-TRI-L
  • MO Other: 431451388 FED TAX ID-PATHOLOGY SERV
  • MO Other: 421539307 FED TAX ID-TRI-LAKES PATH
  • MO Other: 1101160 UNITED HEALTHCARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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