Organization
JACKSON PODIATRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK O JACKSON DPM (PODIATRIST)
(330) 398-3777
Entity
Organization
Contact information
Practice address
1201 BELMONT AVE, YOUNGSTOWN, OH 44504
(330) 333-3365
Mailing address
1201 BELMONT AVE, YOUNGSTOWN, OH 44504-1101
(330) 333-3365
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36003456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2736098
—
OH
Enumeration date
06/16/2007
Last updated
12/28/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us