LARRY D JACKSON (PA-C) – Physician Assistant, NPI 1912928441

LARRY D JACKSON (PA-C) is a healthcare provider. based in Burton, Ohio. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 50-000351 (OH). The NPI Number for LARRY D JACKSON (PA-C) is 1912928441

Main info

Male
Sole Proprietor
Name
LARRY D JACKSON (PA-C)
NPI
1912928441
Phone
Not provided
Address
16620 DOWNEY GLEN TRL
Enumeration Date
21 July 2006
Last Update Date
20 November 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for LARRY D JACKSON (PA-C)

  • 16620 DOWNEY GLEN TRL

    BURTON, OH 440219319

    Phone:

    Type: Mailing

  • Northside Medical Center, 500, Gypsy Lane, Union Square, Youngstown, Mahoning County, Ohio, 44501, United States

    YOUNGSTOWN, OH 445041315

    Phone: (330) 884-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44021)

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Reviews

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Frequently asked questions

Is there an official ID for LARRY D JACKSON (PA-C) in U.S. healthcare records?
The official identifier for LARRY D JACKSON (PA-C) is NPI 1912928441.
Is LARRY D JACKSON (PA-C) still an active registrant?
LARRY D JACKSON (PA-C) carries an active NPI according to the public dataset.
What area of care is associated with LARRY D JACKSON (PA-C)?
LARRY D JACKSON (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LARRY D JACKSON (PA-C)?
Travel planning: use Burton, Ohio as the reference point for LARRY D JACKSON (PA-C), then confirm.
When was this NPI issued?
Enumeration for LARRY D JACKSON (PA-C) is noted as July 21, 2006 where the registry provides it.

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