NPIMap

Individual provider Active NPI

Daniel Aaron Jackson, M.D.

  • Rheumatology Physician
  • Akron, OH
National Provider Identifier
1215950506
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35.076879 Issued in OH
Practice address
1260 Independence Ave
Akron, OH 44310-1812
Phone
(234) 312-2140
Fax
(234) 312-2335
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 35.076879 OH Primary

Addresses

Primary practice location

1260 Independence Ave
Akron, OH 44310-1812

Mailing address

1260 Independence Ave
Akron, OH 44310-1812
Phone (234) 312-2140

Other identifiers 5

IdentifierTypeStateIssuer
8437892OtherCIGNA
432127199MedicaidME
100164OtherMEANTHEM
7902779OtherAETNA
P00302530OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060303000665 ME Practitioner - Rheumatology 3779599428 Reassigns benefits to 4 organizations
I20240916001824 OH Practitioner - Rheumatology 3779599428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Wright State University Boonshoft School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

1260 Independence Ave
Akron, OH 44310-1812
Phone (234) 312-2111

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Central Maine Medical Center CurrentSince May 1, 2020 Accepting new patients
Bridgton Hospital CurrentSince May 1, 2020 Accepting new patients
Summa Physicians LLC Rheumatology CurrentSince Aug 12, 2024 Accepting new patients
Central Maine Medical Center CurrentSince May 1, 2020 Accepting new patients
Summa Physicians LLC Rheumatology CurrentSince Aug 12, 2024 Accepting new patients
Bridgton Hospital CurrentSince May 1, 2020 Accepting new patients
Sirus Hamzavi, MD LLC PA Past Accepting new patients
Rumford Community Family Health Center, Inc. Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

364 Main St
Lewiston, ME 04240
Phone (207) 795-5646

10 High St
Ste 204
Lewiston, ME 04240
Phone (207) 753-3900

10 High St
Lewiston, ME 04240
Phone (207) 753-7655

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

10 High St
Ste 205
Lewiston, ME 04240
Phone (207) 784-1323

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

1260 Independence Ave
Akron, OH 44310
Phone (234) 312-2111

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 12

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1215950506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 INDEPENDENCE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101812",
            "telephone_number": "234-312-2140",
            "fax_number": "234-312-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 INDEPENDENCE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443101812",
            "telephone_number": "234-312-2140",
            "fax_number": "234-312-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DANIEL",
        "middle_name": "AARON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35.076879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8437892",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432127199",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100164",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7902779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00302530",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.