David M Jackson, MD | |
1980 Tamarack Rd, Newark, OH 43055-1363 | |
(740) 788-9220 | |
(740) 788-9226 |
Full Name | David M Jackson |
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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. |
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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 |
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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 |
Alan M Larimer, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 560 Queens Dr S, Newark, OH 43055 Phone: 740-366-5404 | |
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 |