Dr. Derrick O'neal Jackson
Podiatrist Radiology Foot & Ankle Surgery
1201 Belmont Ave
Youngstown
, Ohio 44504-1101
Dr. Derrick O'neal Jackson
Podiatrist Radiology Foot & Ankle Surgery
1201 Belmont Ave
Youngstown
, Ohio 44504-1101
(234) 254-5248
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About
Features
Specialties
- Podiatrist
- Radiology
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Derrick O'neal Jackson
- 1201 Belmont Ave
- Youngstown, OH
- Zip : 44504-1101
- Fax : (234) 254-5248
- Phone : (330) 398-3777
Second Address
- Dr. Derrick O'neal Jackson
- 1201 Belmont Ave
- Youngstown, OH
- Zip : 44504-1101
- Phone : (330) 333-3365
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FAQs
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Is Dr. Derrick O'neal Jackson board certified?
What type of doctor is Dr. Derrick O'neal Jackson
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Where is Dr. Derrick O'neal Jackson ’s practice located?
What is Dr. Derrick O'neal Jackson ’s gender?
Is Dr. Derrick O'neal Jackson a sole practitioner?
Is Dr. Derrick O'neal Jackson accepting new patients?
What languages does Dr. Derrick O'neal Jackson speak?
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Does Dr. Derrick O'neal Jackson offers telemedicine?
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Does Dr. Derrick O'neal Jackson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 30003456 | OH |
| N | 222Z00000X | Podiatrist | 30003456 | OH |
| N | 111NR0200X | Radiology | 36003456 | OH |
| N | 213ER0200X | Radiology | 36003456 | OH |
| Y | 213ES0103X | Foot & Ankle Surgery | 36003456 | OH |
National Provider Identifier
| NPI | 1518080811 |
|---|---|
| Provider Name | Dr. Derrick O'neal Jackson |
| First Address | Youngstown, OH 44504-1101 |
| Second Address | Youngstown, OH 44504-1101 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2007 |
| Last Update Date | 27/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.