Christopher Jackson, MD | |
2213 Cherry St, Toledo, OH 43608-2603 | |
(567) 290-6543 | |
Not Available |
Full Name | Christopher Jackson |
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Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 2213 Cherry St, Toledo, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043673387 | NPI | - | NPPES |
0499026 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 35.142188 (Ohio) | Primary |
Entity Name | Promedica Central Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245444959 PECOS PAC ID: 6709975345 Enrollment ID: O20071204000485 |
Entity Name | Northwest Pediatric Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
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Christopher Jackson, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Christopher Jackson, MD 2213 Cherry St, Toledo, OH 43608-2603 Ph: (567) 290-6543 |
Jacoby Jacobsen, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-6596 Fax: 419-251-6849 | |
Zachary William Fulton, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: Mercy St. Vincent Medical Center, 2409 Cherry St., Mob 1, Suite 10, Toledo, OH 43608 Phone: 419-251-6553 Fax: 419-251-9672 | |
Kyle Allen Andrews, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2121 Hughes Dr # 310, Toledo, OH 43606 Phone: 419-291-3858 Fax: 419-480-8701 | |
Dr. Abdul Azim Mustapha, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Orthopedic Surgery, Toledo, OH 43614 Phone: 419-383-3761 Fax: 419-383-2933 | |
Dr. John Vernon Houghtaling, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2865 N Reynolds Rd, Building A, Toledo, OH 43615 Phone: 419-578-7200 | |
Dr. Kraig Alan Kristof, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4235 Secor Rd, Toledo, OH 43623 Phone: 419-479-5424 Fax: 419-479-5425 |