MS. MEGHAN DRAYTON JACKSON NPI 1215251558

NPI Information

NPI: 1215251558
Provider Name: MS. MEGHAN DRAYTON JACKSON
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR
ROC 4340
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-2143
Get Directions

MS. Meghan Drayton Jackson is a pediatric hematology-oncology pediatrics in Indianapolis, IN with 14 years of experience. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. MS. Meghan Drayton Jackson NPI is 1215251558. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

705 RILEY HOSPITAL DR
ROC 4340
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-2143
Fax: (317) 944-3107

The NPI 1215251558 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/15/2010 and was last updated on 3/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		34.010920	OHIO	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	34.010920	OHIO	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	02005440A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0086648	MEDICAID	OHIO
2	300016003	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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