Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN SCOTT JACKSON, MD
ActiveDR. RYAN SCOTT JACKSON, MD is a Otolaryngology healthcare provider located in SAINT LOUIS, Missouri. NPI 1710114582 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1710114582
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2009 (17.194399230576 yrs)
- Last Updated
- Apr 17, 2025
- License
-
2015010898 (MO)
Practice Information
- Address
-
4921 PARKVIEW PLDEPT OTOLARYNGOLOGY, STE 11ASAINT LOUIS, MO, 631101032Browse MO providers · Browse ZIP 63110
- Phone
- 3143627509
- Fax
- 3143627522
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| ROBERT K GAUGHAN | M.D. | 1720076987 |
| SCOTT H HARDEMAN | M.D. | 1770571721 |
| MARK F STROBLE | M.D. | 1023006087 |
| RICHARD E SCHRICK | M.D. | 1699763532 |
| ALAN P K WILD | MD | 1871582692 |
| JOSE A LIMA | M.D. | 1629069521 |
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.