RAYMOND JACKSON
NPI 1154048213
Student in an Organized Health Care Education/Training Program in Shaker Heights, OH
NPI Status: Active since October 20, 2022
Contact Information
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS, OH
ZIP 44118
Phone: (216) 932-2800
Fax: (216) 932-6704
- Individual
- Male
- Student in an Organized Health Care Educ...
- Accepts Insurance
About RAYMOND JACKSON
This page provides the complete NPI Profile along with additional information for Raymond Jackson, a primary care provider established in Shaker Heights, Ohio with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1154048213 assigned on October 2022. The practitioner's primary taxonomy code is 390200000X with license number C.2507148-TRNE (OH). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1154048213
- Provider Name
- RAYMOND JACKSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118
- Location Phone
- (216) 932-2800
- Location Fax
- (216) 932-6704
- Mailing Address
- 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118
- Mailing Phone
- (216) 932-2800
- Mailing Fax
- (216) 932-6704
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-20-2022
- Last Update Date
- 09-18-2025
- Code Navigator
A primary care provider (PCP) like Raymond Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- C.2507148-TRNE
- License State
- OH
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Silver 6000 $20 Generic Drugs - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154048213, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SHAKER HEIGHTS, OH 44118
SHAKER HEIGHTS, OH 44118
SHAKER HEIGHTS, OH 44118
UNIVERSITY HEIGHTS, OH 44118
SHAKER HEIGHTS, OH 44118
SHAKER HEIGHTS, OH 44118
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154048213, enumerated as an "individual" on October 20, 2022.
The provider is located at 22001 FAIRMOUNT BLVD SHAKER HEIGHTS, OH 44118 and the phone number is (216) 932-2800.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.
