DOUGLAS JACKSON MD
NPI 1083479612
Radiology - Radiation Oncology in Johnstown, PA
About Douglas Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS JACKSON MD (NPI 1083479612) is an individual radiation oncology provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD034616E) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Douglas Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSTOWN, PA 15901
JOHNSTOWN, PA 15901
JOHNSTOWN, PA 15901
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Douglas Jackson's NPI number?
The NPI number for Douglas Jackson is 1083479612. It was assigned to this individual provider in the NPPES registry on February 13, 2024.
Where is Douglas Jackson located?
Douglas Jackson practices at 337 Somerset St, Johnstown, PA 15901. The listed phone number is (814) 533-0106.
What is Douglas Jackson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.
Is Douglas Jackson enrolled in Medicare?
Yes. Douglas Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Douglas Jackson was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Douglas Jackson, MD · NPI 1083479612
Radiation Oncology physician in Johnstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since February 13, 2024.
## Identity
- **NPI:** 1083479612 (Entity type: Individual)
- **Enumerated:** February 13, 2024
- **Primary specialty:** Radiology - Radiation Oncology · taxonomy 2085R0001X
- **State license:** MD034616E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 337 SOMERSET ST, Johnstown, PA 15901-2541
- **Phone:** (814) 533-0106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1982
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083479612) · Data from the CMS NPPES public registry.