Oksana Jackson, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD424308 Issued in PA

Practice address

34TH & Civic Center Blvd
Childrens Hospital of Philadelphia
Philadelphia, PA 19104-4306

Phone

(215) 590-2208

Fax

(215) 590-2496

NPI assigned

Dec 28, 2006

Last updated

Apr 11, 2013By the provider in NPPES

Sex

Female

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Children's Surgical Associates LTD

  • Plastic Surgery Physician
  • Philadelphia, PA
  • NPI 1326117185
  Medicare reassignment
• Children's Surgical Associates LTD

  • Surgery Physician
  • Philadelphia, PA
  • NPI 1942379797
  NPD
• Children's Surgical Associates LTD

  • Urology Physician
  • Philadelphia, PA
  • NPI 1003985854
  NPD (past)
• Children's Surgical Associates LTD

  • Pediatric Surgery Physician
  • Philadelphia, PA
  • NPI 1760562581

  Plastic Surgery

  NPD (past)
• Children's Surgical Associates LTD

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1821177395
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1831255793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EAST PENN SQUARE",
            "address_2": "THE WANAMAKER BUILDING 9TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191073323",
            "telephone_number": "267-425-9538",
            "fax_number": "267-425-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH & CIVIC CENTER BLVD",
            "address_2": "CHILDRENS HOSPITAL OF PHILADELPHIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044306",
            "telephone_number": "215-590-2208",
            "fax_number": "215-590-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "OKSANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD424308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102095848-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melodie Isma Jackson
• Melody Jackson
• Michelle Jackson, LCSW
• Nicole Janice Jackson, MD
• Nora Jackson
• Paula Deaun Jackson, CRNP
• Rachel Hil Jackson, PA-C
• Rasheeda Jackson, MHS, CRS, CMA
• Rashidah Jackson, LPN
• Rebecca Jackson, M.D.

• Plastic Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.