Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

William Michael Jackson, MD

Individual provider Anesthesiology Physician · NPI 1043577216

William Michael Jackson, MD is an Anesthesiology in New York, New York. Graduated from College of Physicians and Surgeons (Arkansas) in 2012, 14 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group. Licensed in New York.

Years since qualifying
14
Trained at
College of Physicians and Surgeons (Arkansas)
Licensed in
NY
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

630 W 168th St
New York, NY 10032-3725
Phone: (212) 305-2069
Fax: (212) 305-3204
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 274685 (NY)

Record details

NPI number1043577216
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 12, 2012
Last updated in NPPESOctober 30, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolCOLLEGE OF PHYSICIANS AND SURGEONS (ARKANSAS)
Graduated 2012 (14 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York