DR. ROBERT ANDREW JACKSON DPM NPI 1003895608

NPI Information

  • NPI: 1003895608
  • Provider Name: DR. ROBERT ANDREW JACKSON, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 440 PELLIS RD
    GREENSBURG, PA
    ZIP 15601
  • Phone: (724) 853-9896

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NPI Details

DR. Robert Andrew Jackson, DPM is a foot surgery podiatrist in Greensburg, PA. DR. Robert Andrew Jackson, DPM NPI is 1003895608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

440 PELLIS RD
GREENSBURG, PA
ZIP 15601-529
Phone: (724) 853-9896
Fax: (724) 853-9897

The NPI 1003895608 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 1/11/2006 and was last updated on 7/20/2007.

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
1213ES0131XPodiatristFoot SurgerySC2741LPENNSYLVANIAYes

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
1JA863061OTHERPENNSYLVANIABLUE SHIELD
201676810/01MEDICAIDPENNSYLVANIA
3JA863061MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
4T53670MEDICARE UPINPENNSYLVANIA

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: 11/21/2025

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