Douglas Jackson, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD034616E Issued in PA

Practice address

337 Somerset St
Johnstown, PA 15901-2541

Phone

(814) 533-0106

NPI assigned

Feb 13, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Radiation Oncology

Education

Pennsylvania State University College of Medicine, 1982

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fayette Oncology Associates

  • Radiation Oncology Physician
  • Uniontown, PA
  • NPI 1003817958
  Medicare reassignment NPD
• University of Pittsburgh Cancer Institute Cancer Services

  dba UPMC Cancer Centers

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1427025840
  Medicare reassignment NPD
• Upmc/Conemaugh Cancer Center

  • Radiation Oncology Physician
  • Johnstown, PA
  • NPI 1326015538
  Medicare reassignment NPD
• Fayette Oncology Associates

  • Mobile Radiology Clinic/Center
  • Uniontown, PA
  • NPI 1700840154
  NPD
• University of Pittsburgh Cancer Institute Cancer Services

  • Mobile Radiology Clinic/Center
  • Natrona Heights, PA
  • NPI 1912961350
  NPD
• Upmc/Conemaugh Cancer Center

  • Radiology Clinic/Center
  • Johnstown, PA
  • NPI 1700185188
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1083479612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321309",
            "telephone_number": "814-533-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SOMERSET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012541",
            "telephone_number": "814-533-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-13",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD034616E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Healthcare of Pittsburgh, Inc. (Interim Healthcare of Johnstown)
• Alyssa Irwin
• J. Jerome Petro DMD Inc
• Kelly Marie Jablon, COTA/L
• Jack R. Lazer, D.M.D., P.C.
• Jo Ann Jacobs, COTA/L
• Lindsey Jacobs
• Ashish Jain, MD
• Sreshta B Jain
• James R. Moore D.D.S., J.Craig Moore D.M.D., P.C.

• Radiation Oncology Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.