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JACKSON PODIATRY, INC
NPI 1306041744
Podiatrist - Foot Surgery in Youngstown, OH

Active since June 16, 2007
1201 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 333-3365 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2018, Mar 17, 2018, Jan 18, 2018 (3 updates tracked since 2018).

About Jackson Podiatry, Inc NPPES

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

JACKSON PODIATRY, INC (NPI 1306041744) is a healthcare organization registered as a foot surgery in Youngstown, Ohio and active in the NPI registry since June 2007. The organization maintains a secondary practice location in Youngstown and lists Derrick O Jackson, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1306041744
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameJACKSON PODIATRY, INC
Location Address1201 BELMONT AVEYoungstown, OH 44504
Mailing Address1201 Belmont AveYoungstown, OH 44504-1101 · (330) 333-3365
Phone(330) 333-3365
Organization SubpartNo
Authorized OfficialDerrick O JacksonPodiatrist · (330) 398-3777
Enumeration DateJune 16, 2007
Last NPPES UpdateDecember 28, 20183 updates tracked since enumeration
✔ NPI 1306041744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in OH · 36003456
1201 BELMONT AVE, Youngstown, OH 44504
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Secondary Practice Location 1

Location 11201 Belmont AveYoungstown, OH 44504 · Phone (330) 333-3365

Other Identifiers 1

Medicaid2736098OH

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

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

NORTHERN OHIO MEDICAL SPECIALISTS, LLC
Durable Medical Equipment & Medical Supplies
1201 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 747-4888

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 Jackson Podiatry, Inc's NPI number?

The NPI number for Jackson Podiatry, Inc is 1306041744. It was assigned to this organization in the NPPES registry on June 16, 2007.

Where is Jackson Podiatry, Inc located?

Jackson Podiatry, Inc is located at 1201 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 333-3365.

What is Jackson Podiatry, Inc's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Jackson Podiatry, Inc was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.