Jackson Podiatry, Inc
NPI 1306041744 · Foot Surgery Podiatrist · Youngstown, OH
Jackson Podiatry, Inc is a Foot Surgery Podiatrist organization in Youngstown, OH (NPI 1306041744).
Provider details
- NPI number
- 1306041744
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Derrick Jackson, Podiatrist(330) 398-3777
- License
- 36003456 (OH)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1201 Belmont AveYoungstown, OH 44504Phone: (330) 333-3365
Registry dates
- Enumerated
- 2007-06-16
- Last updated
- 2018-12-28
Frequently asked questions
- What is Jackson Podiatry, Inc's NPI number?
- Jackson Podiatry, Inc's National Provider Identifier (NPI) is 1306041744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Podiatry, Inc?
- Jackson Podiatry, Inc is classified in the NPPES registry as Foot Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Jackson Podiatry, Inc located?
- Jackson Podiatry, Inc's practice location on file with NPPES is 1201 Belmont Ave, Youngstown, OH 44504.
- What is Jackson Podiatry, Inc's phone number?
- The practice phone number listed in the NPPES registry for Jackson Podiatry, Inc is (330) 333-3365.
- Who is the authorized official for Jackson Podiatry, Inc?
- The authorized official listed on Jackson Podiatry, Inc's NPPES record is Derrick Jackson, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Podiatry, Inc's NPI active?
- Yes — Jackson Podiatry, Inc's NPI (1306041744) is active in the NPPES registry as of the last update on 2018-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.