| Larry D Jackson, PA-C | |
|
500 Gypsy Ln, Youngstown, OH 44504-1315 | |
| (330) 884-1000 | |
| Not Available |
| Full Name | Larry D Jackson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 500 Gypsy Ln, Youngstown, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912928441 | NPI | - | NPPES |
| 970029949 | Other | OH | MEDICARE TRAVELERS RR-GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50-000351 (Ohio) | Primary |
| 146D00000X | Personal Emergency Response Attendant | 50000351 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry D Jackson, PA-C 16620 Downey Glen Trl, Burton, OH 44021-9319 Ph: () - | Larry D Jackson, PA-C 500 Gypsy Ln, Youngstown, OH 44504-1315 Ph: (330) 884-1000 |
Eva Rothermel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Ms. Gwendolyn Deloris Reese, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 Clarencedale Ave., Youngstown, OH 44512 Phone: 330-934-4996 | |
Sofia Accordino, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-746-7211 | |
Ms. Kathryn R Breit, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 540 Parmalee Ave, Ste 510, Youngstown, OH 44510 Phone: 330-744-2118 Fax: 330-744-2110 | |
Caitlin Elizabeth Spillan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4694 Belmont Ave, Youngstown, OH 44505 Phone: 330-480-7667 Fax: 330-759-3851 | |
Emily Lyons, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8591 Crossroads Drive, Youngstown, OH 44514 Phone: 330-758-0577 Fax: 330-758-0466 | |
Marsia Manna, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Trailwood Dr, Youngstown, OH 44512 Phone: 234-287-6511 Fax: 330-259-9721 |