IndividualActive
Althea Jackson, M.D.
NPI 1306838321 · Obstetrics & Gynecology Physician · Fort Wayne, IN
Provider details
- NPI number
- 1306838321
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01052580A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2510 E Dupont Rd
Suite 100
Fort Wayne, IN 46825-1600
Phone: (260) 490-9883
Fax: (260) 490-0064
Street-level locationGet directions
Mailing address
1330 Powell St
Norristown, PA 19401-3353
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.