Derrick O Jackson (NPI# 1518080811, PAC ID# 8628169935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1518080811 |
| PAC ID by PECOS | 8628169935 |
| Professional Enrollment ID | I20070801000039 |
| Full Name | Derrick O Jackson |
| Address |
1201 Belmont Ave Youngstown OH 44504-1101 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1201 Belmont Ave, Youngstown, OH 44504-1101 |
| Street Address |
1201 BELMONT AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44504-1101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn R Breit | Physician Assistant | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Laurie Hayes | Physician Assistant | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Gaby Aoun | Interventional Cardiology | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Allan Katz | Cardiac Electrophysiology | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Lucas W Henn | Thoracic Surgery | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Walter C Sweeney | Interventional Cardiology | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Venkata S Kollipara | Vascular Surgery | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Jeremy Thomas Jubach | Thoracic Surgery | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Larissa A Roth | Nurse Practitioner | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Laura Madeline Mancini | Nurse Practitioner | Mercy Health Physicians Youngstown, LLC | 1001 Belmont Ave, Youngstown, OH 44504-1003 |
| Find all physicians in zip 44504 | |||
| City | YOUNGSTOWN |
| Zip Code | 44504 |
| Specialty | PODIATRY |
| City + Specialty | YOUNGSTOWN + PODIATRY |
Please comment or provide details below to improve the information on Derrick O Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.