Rosalind J Jackson

Address: 4000 Miamisburg Centerville Rd, Suite 104, Miamisburg, OH 45342-3674

Rosalind J Jackson (NPI# 1134125123, PAC ID# 2567568645) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1134125123
PAC ID by PECOS 2567568645
Professional Enrollment ID I20070507000288
Full Name Rosalind J Jackson
Address 4000 Miamisburg Centerville Rd
Suite 104
Miamisburg
OH 45342-3674
Gender F
Credential MD
Medical School WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1995
Primary Specialty OBSTETRICS/GYNECOLOGY
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360239 KETTERING MEDICAL CENTER - SYCAMORE
360133 GRANDVIEW AND SOUTHVIEW HOSPITALS

Other Locations

Address Phone Organization
4000 Miamisburg Centerville Rd, Suite 104, Miamisburg, OH 45342-3674
4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-3674

Organization Information

Office Location

Street Address 4000 MIAMISBURG CENTERVILLE RD
SUITE 104
City MIAMISBURG
State OH
Zip 45342-3674

Physicians at the same location

Name Specialty Organization Address
Jodi L Van Jura FAMILY PRACTICE ALLIANCE PHYSICIANS INC 4000 Miamisburg Centerville Rd, Suite 410, Miamisburg, OH 453423758
Hemant Mahendra Shah PULMONARY DISEASE PULMONARY MEDICINE OF DAYTON INC 4000 Miamisburg Centerville Rd, Suite 450, Miamisburg, OH 45342-3908
Rose Mary Shaw CLINICAL PSYCHOLOGIST 4000 Miamisburg Centerville Rd, Suite 10, Miamisburg, OH 45342-7615
James P Deering Iii ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Christopher A Murray CERTIFIED REGISTERED NURSE ANESTHETIST KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Arash Kardan NUCLEAR MEDICINE KETTERING NETWORK RADIOLOGISTS INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Ana L Keppke DIAGNOSTIC RADIOLOGY KETTERING NETWORK RADIOLOGISTS INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
David Lyle Tibbits ANESTHESIOLOGY KETTERING ANESTHESIA ASSOCIATES, INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615
Salman Sarwar Razi PULMONARY DISEASE PULMONARY MEDICINE OF DAYTON INC 4000 Miamisburg Centerville Rd, Suite 450, Miamisburg, OH 45342-3908
Richard A Mckenzie DIAGNOSTIC RADIOLOGY KETTERING NETWORK RADIOLOGISTS INC 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615

Competitor

Search similar physicians

City MIAMISBURG
Zip Code 45342
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty MIAMISBURG + OBSTETRICS/GYNECOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.