Jeffrey M Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

276998 Issued in OH

Practice address

2142 N Cove Blvd
Toledo, OH 43606-3895

Phone

(419) 471-4491

Fax

(419) 479-6905

NPI assigned

Jul 13, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Safe Anesthesia Chardon LLCGroup PAC ID 0547456386, 20 clinicians

University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Elyria Anesthesia IncorporatedGroup PAC ID 7214902170, 64 clinicians

Safe Anesthesia Geneva LLCGroup PAC ID 4385771997, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
• University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078
• Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
• Uh Regional Hospitals Hospital, Chardon, OH, CCN 360075

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjackson26060@ehrdirect.uhhospitals.org

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.

• Elyria Anesthesia Incorporated

  • Anesthesiology Physician
  • Elyria, OH
  • NPI 1710922463
  Medicare reassignment Care Compare group NPD
• Safe Anesthesia Chardon LLC

  • Certified Registered Nurse Anesthetist
  • Chardon, OH
  • NPI 1740599976

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Safe Anesthesia Geneva LLC

  • Certified Registered Nurse Anesthetist
  • Geneva, OH
  • NPI 1821327636

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• University Primary Care Practices Inc

  • Gastroenterology Physician
  • Mentor, OH
  • NPI 1003935339
  Medicare reassignment Care Compare group NPD
• Uh North Ridgeville Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • North Ridgeville, OH
  • NPI 1396213294
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• University Primary Care Practices Inc

  • Internal Medicine Physician
  • Shaker Heights, OH
  • NPI 1720220098
  NPD
• University Primary Care Practices Inc

  • Orthopaedic Surgery Physician
  • Oberlin, OH
  • NPI 1982727087
  NPD
• Anesthesiology Consultants of Toledo, Inc

  • Anesthesiology Physician
  • Toledo, OH
  • NPI 1366482119
  NPD (past)

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

• Mercy Health-Regional Medical Center LLC

  • Clinical Medical Laboratory
  • Lorain, OH
  • NPI 1164971800

  Hospital

  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  Care Compare affiliation
• Robinson Health System, Inc.

  • General Acute Care Hospital
  • Ravenna, OH
  • NPI 1043641897
  Care Compare affiliation
• Uh Regional Hospitals

  • General Acute Care Hospital
  • Chardon, OH
  • NPI 1669562864
  Care Compare affiliation
• University Hospitals Geneva Medical Center

  • Critical Access Hospital
  • Geneva, OH
  • NPI 1225128432
  Care Compare affiliation

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568460400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 S REPUBLIC BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151912",
            "telephone_number": "419-531-8808",
            "fax_number": "419-531-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-471-4491",
            "fax_number": "419-479-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "276998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00084194",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAID",
            "identifier": "2440415",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendora D. Jackson
• Isaiah Jackson
• Jacqueline Faye Jackson
• James L Jackson, MSW,LICDC
• Jaron Jackson
• Jennifer M Jackson, A.A.
• Julie Marie Jackson, OT
• Kayleah Jackson
• Keiyona T Jackson
• Kenesha Jackson

• Certified Registered Nurse Anesthetist in Toledo, OH
• Providers in Toledo, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.