Raymond William Jackson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD026205E Issued in PA

Practice address

411 Oak St
Sterling Medical Associates
Cincinnati, OH 45219-2598

Phone

(513) 984-1800

Fax

(513) 984-4909

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sterling Medical Associates

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Cincinnati, OH
  • NPI 1336226729
  NPD (past)
• Sterling Adult Day Services

  • Adult Day Care Clinic/Center
  • Colorado Springs, CO
  • NPI 1497927529
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831282185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S JULIANA ST",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221736",
            "telephone_number": "814-623-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 OAK ST",
            "address_2": "STERLING MEDICAL ASSOCIATES",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192598",
            "telephone_number": "513-984-1800",
            "fax_number": "513-984-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RAYMOND",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD026205E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D795479",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Jackson
• Nia Jackson
• Pateeser A Jackson
• Patricia A. Jackson, R.N.
• Randy Jackson
• Richard L. Jackson, D.D.S.
• Ronald L Jackson Sr., ED.D.
• Samantha Jackson
• Samantha L Jackson
• Scott M Jackson

• Diagnostic Radiology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Diagnostic Radiology Physician 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.