Derrick O'Neal Jackson in Columbus - Foot & Ankle Surgery
Derrick O'Neal Jackson - NPI 1518080811
Derrick O'Neal Jackson is a Foot & Ankle Surgery in Columbus, Ohio. Derrick O'Neal Jackson practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Derrick O'Neal Jackson is 1518080811. The last update date is 2022-04-05.
Derrick O'Neal Jackson's current location address is 3255 E Livingston Avenue, Columbus, Ohio. You can contact this provider via phone number 8669533519 and fax number 6142391080. The mailing address for Derrick O'Neal Jackson is 3255 E Livingston Avenue, Columbus, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick O'Neal Jackson |
|---|---|
| Address | 3255 E Livingston Avenue, Columbus, Ohio |
| Phone Number | 8669533519 |
| Fax Number | 6142391080 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1518080811 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2022-04-05 |
Provider Mailing Address Detail
| Address | 3255 E Livingston Avenue |
|---|---|
| City | Columbus |
| State | Ohio (OH) |
| Post Code | 432271967 |
| Phone Number | 8669533519 |
| Fax Number | 6142391080 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 36003456 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Derrick O'Neal Jackson by the Centers for Medicare & Medicaid Services?
The Derrick O'Neal Jackson has been assigned the NPI (National Provider Identifier) 1518080811 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Derrick O'Neal Jackson is geographically located?
The Derrick O'Neal Jackson is physically situated at the following location: 3255 E Livingston Avenue, Columbus, OH, 432271967.
What is Derrick O'Neal Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derrick O'Neal Jackson's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518080811 to Derrick O'Neal Jackson?
The Derrick O'Neal Jackson received its 1518080811 assignment from the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date was the information regarding Derrick O'Neal Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Derrick O'Neal Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-04-05.