| David M Jackson, MD | |
|
1980 Tamarack Rd, Newark, OH 43055-1363 | |
| (740) 788-9220 | |
| (740) 788-9226 |
| Full Name | David M Jackson |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1980 Tamarack Rd, Newark, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659392074 | NPI | - | NPPES |
| 0607776 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 35407273 (Ohio) | Primary |
| Entity Name | Orthopedic Specialists & Sports Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710983200 PECOS PAC ID: 6406889526 Enrollment ID: O20050918000032 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Jackson, MD 1980 Tamarack Rd, Newark, OH 43055-1363 Ph: (740) 788-9220 | David M Jackson, MD 1980 Tamarack Rd, Newark, OH 43055-1363 Ph: (740) 788-9220 |
Robert Woollen Mueller, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 201, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 | |
John D Quimjian, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1980 Tamarack Rd, Newark, OH 43055 Phone: 740-788-9220 Fax: 740-788-9226 | |
Zackary Birchard, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1717 West Main St Ste 203, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 | |
Andrew Terlecky, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 201, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 | |
Kevin Michael Ouweleen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1717 W Main St, Suite 201, Newark, OH 43055 Phone: 220-564-2900 Fax: 220-564-2901 |