LARRY D JACKSON PA-C
NPI 1912928441
Physician Assistant in Youngstown, OH

NPI Status: Active since July 21, 2006

Contact Information

500 GYPSY LN
YOUNGSTOWN, OH
ZIP 44504
Phone: (330) 884-1000

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  • Individual
  • Male
  • Physician Assistant

About LARRY JACKSON

This page provides the complete NPI Profile along with additional information for Larry Jackson, a primary care provider established in Youngstown, Ohio with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1912928441 assigned on July 2006. The practitioner's primary taxonomy code is 363A00000X with license number 50-000351 (OH). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1912928441
Provider Name
LARRY D JACKSON PA-C
Gender
Male
Entity Type
Individual
Location Address
500 GYPSY LN YOUNGSTOWN, OH 44504
Location Phone
(330) 884-1000
Mailing Address
16620 DOWNEY GLEN TRL BURTON, OH 44021
Is Sole Proprietor?
Yes
Enumeration Date
07-21-2006
Last Update Date
11-20-2014
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A primary care provider (PCP) like Larry 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
50-000351
License State
OH
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1146D00000XEmergency Medical Service Providers

Personal Emergency Response Attendant

50000351 (OH)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
JAPA16719MEDICARE ID-TYPE UNSPECIFIED (04)OH 
970029949OTHER (01)OHMEDICARE TRAVELERS RR-GA
S62128MEDICARE UPIN (02)OH 

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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 1912928441, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 9 → 18 → 9 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 8 + 2 + 1 + 6 + 4 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1912928441.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Pediatric Radiology)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Radiology (Pediatric Radiology)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Internal Medicine (Rheumatology)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Pathology (Anatomic Pathology & Clinical Pathology)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Family Medicine
500 GYPSY LN, FAMILY PRACTICE DEPT
YOUNGSTOWN, OH 44504
Pediatrics (Pediatric Cardiology)
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Nurse Anesthetist, Certified Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Podiatrist
500 GYPSY LN
YOUNGSTOWN, OH 44504
General Acute Care Hospital
500 GYPSY LN
YOUNGSTOWN, OH 44504
Personal Emergency Response Attendant
500 GYPSY LN
YOUNGSTOWN, OH 44504
Personal Emergency Response Attendant
500 GYPSY LN
YOUNGSTOWN, OH 44504
Specialist
500 GYPSY LN
YOUNGSTOWN, OH 44504
Dietitian, Registered
500 GYPSY LN
YOUNGSTOWN, OH 44504
Clinic/Center (Radiology)
500 GYPSY LN
YOUNGSTOWN, OH 44504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912928441, enumerated as an "individual" on July 21, 2006.

The provider is located at 500 GYPSY LN YOUNGSTOWN, OH 44504 and the phone number is (330) 884-1000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.