Cynthia Jackson
Individual provider Active NPI Diagnostic Radiology Physician · Lewisberry, PA
NPI 1114914124 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1114914124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD0683881 (PA)
- Practice address
- 629D Lowther Rd
Suite 3950
Lewisberry, PA 17339-9527 - Phone
- (717) 932-5200
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quantum Imaging and Therapeutic Associates Inc
Practice addresses (Care Compare)
1251 E Main St
Annville, PA 17003-1643
Phone (717) 932-5200
1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 932-5200
361 Alexander Spring Rd
Carlisle, PA 17015-6940
Phone (717) 932-5200
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 932-5200
4518 Union Deposit Rd
Harrisburg, PA 17111-2921
Phone (717) 932-5200
51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200
610 Allen Grange CT
Mechanicsburg, PA 17055-5999
Phone (717) 932-5200
850 Walnut Bottom Rd
Carlisle, PA 17013-3632
Phone (717) 932-5200
Hospital & facility affiliations
- Upmc Pinnacle Hospitals
- Upmc Carlisle
- Upmc Memorial
- Upmc Hanover
- Wellspan Evangelical Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040203000853 | PA | Practitioner - Diagnostic Radiology | 0749173821 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0683881 | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Diagnostic Radiology | Current |
Accepting new patients |
| Geisinger Clinic | Diagnostic Radiology | Current |
Accepting new patients |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| Quantum Imaging & Therapeutic Associates Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Regional Gastroenterology Associates of Lancaster, LTD. | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Diagnostic Radiology | Current |
Accepting new patients |
| Penn State Health Medical Group, LLC | Current |
Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients | |
| Alpha Diagnostics LLC | Past | Accepting new patients | |
| Central Pennsylvania MRI Center | Diagnostic Radiology | Past | Accepting new patients |
| Alpha Diagnostics LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100
423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880
100 N Academy Ave
Danville, PA 17822
51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280
865 S Arlington Ave
Harrisburg, PA 17109
Phone (717) 652-1652
1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
629D Lowther Rd
Ste 3950
Lewisberry, PA 17339
Phone (717) 843-0736
629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD0683881 | PA | Yes |
Addresses
Primary practice location
629D Lowther Rd
Suite 3950
Lewisberry, PA 17339-9527
Mailing address
629D Lowther Rd
Suite 3950
Lewisberry, PA 17339-9527
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Other providers in Lewisberry, PA
- Brian Walter Harris
- Nicholas Patrick Harth
- Tamra Heimert
- Shane Henson
- Priscilla Gail Hooper
- Anand Srinivas Jagannath
- Kenneth L Jusko
- Kiran Kapadia
- Eliza Jane Keller
- Klein Dental Associates, PC
All providers in Lewisberry, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.