LARRY A. JACKSON, MD PC
NPI 1134565849
General Practice in Springfield, OR

Q: What is Larry A. Jackson, MD PC's NPI number?

The NPI number for Larry A. Jackson, MD PC is 1134565849. It was assigned to this organization in the NPPES registry on May 21, 2013.

Q: What is Larry A. Jackson, MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since May 21, 2013

1717 CENTENNIAL BLVD, SUITE 7, SPRINGFIELD, OR 97477(541) 726-0550(541) 726-7485 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Larry A. Jackson, Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY A. JACKSON, MD PC (NPI 1134565849) is a healthcare organization registered as a general practice in Springfield, Oregon and active in the NPI registry since May 2013. The organization lists Larry Arthur Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1134565849

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLARRY A. JACKSON, MD PC

Location Address1717 CENTENNIAL BLVD, SUITE 7Springfield, OR 97477-3378

Mailing Address1717 Centennial Blvd, Suite 7Springfield, OR 97477-3378 · (541) 726-0550 · Fax (541) 726-7485

Phone(541) 726-0550

Fax(541) 726-7485

Organization SubpartNo

Authorized OfficialLarry Arthur JacksonPresident · (541) 726-0550

Enumeration DateMay 21, 2013

✔ NPI 1134565849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in OR · 08513

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1717 CENTENNIAL BLVD, Springfield, OR 97477

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD F ERPELDING MD

Family Medicine

1717 CENTENNIAL BLVD, #7
SPRINGFIELD, OR 97477

Lane County (541) 726-0550

MR. CHRISTOPHER ANDREW PARK OTR

Occupational Therapist

1717 CENTENNIAL BLVD, SUITE 6
SPRINGFIELD, OR 97477

Lane County (541) 988-5883

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 Larry A. Jackson, MD PC's NPI number?

The NPI number for Larry A. Jackson, MD PC is 1134565849. It was assigned to this organization in the NPPES registry on May 21, 2013.

Where is Larry A. Jackson, MD PC located?

Larry A. Jackson, MD PC is located at 1717 Centennial Blvd Suite 7, Springfield, OR 97477. The listed phone number is (541) 726-0550.

What is Larry A. Jackson, MD PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Larry A. Jackson, MD PC was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.