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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DERRICK O'NEAL JACKSON, DPM

Active

DR. DERRICK O'NEAL JACKSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in YOUNGSTOWN, Ohio. NPI 1518080811 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · YOUNGSTOWN, OH

Registration Details

NPI Number
1518080811
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2007 (19.316610399283 yrs)
Last Updated
Apr 5, 2022
Licenses
30003456 (OH)
36003456 (OH)
36003456 (OH)

Practice Information

Address
420 OAK HILL AVENUE
YOUNGSTOWN, OH, 445021415
Browse OH providers · Browse ZIP 44502
Phone
3308703900
Fax
3308703901
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X
Additional Specialty
Radiology Podiatrist

Other Foot & Ankle Surgery Podiatrist Providers in YOUNGSTOWN, OH

Name Credential NPI
DR. VERN MICHAEL CHUBA DPM 1891780599
DR. CARMELITA R REYES DPM 1770579724
DR. JOHN A FLAUTO DPM 1144202557
DR. YELENA LEAH KAPLAN DPM 1386750875
DR. KYLE ROBERT WIRE D.P.M. 1629261847
DR. FRANK A LUCKINO III DPM 1801187570
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.