Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912928441 Individual Practitioner Male Practitioner

Larry D Jackson , PA-C

Physician Assistant • Youngstown, OH

Professional Overview & Biography Verified Profile Summary

Larry Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant in Youngstown, OH. Practice services are available at 500 GYPSY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Gypsy Ln

Youngstown, OH 445041315

Telephone 3308841000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Youngstown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
53 Specialists

Practicing in Youngstown, OH (5376 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50-000351

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Personal Emergency Response Attendant

NUCC Taxonomy Code: 146D00000X

State License OH 50000351

Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Travelers Rr-Ga
970029949 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Philip Howren , DO

Emergency Medicine

NPI 1053338723

Doctor of Osteopathic Medicine (D.O.)

NPI 1164919221

Doctor of Medicine (M.D.)

Dr. Stephen Dubos , DO

Personal Emergency Response Attendant

NPI 1184645681

Doctor of Osteopathic Medicine (D.O.)

Dr. Thomas Mucci , DO

Personal Emergency Response Attendant

NPI 1326069907

Doctor of Osteopathic Medicine (D.O.)

Amrinder Bhatti

Hospitalist

NPI 1336447325
Dr. Terence Kelly , DDS

Student in an Organized Health Care Education/Training Program

NPI 1508927757

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 20, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2014

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308841000)

📍
Updated Business Mailing Address November 20, 2014

Registered at 16620 DOWNEY GLEN TRL, BURTON, OH 440219319

👤
Provider Name / Credentials Updated November 20, 2014

Recorded as LARRY JACKSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2014

Personal Emergency Response Attendant (License #50000351 in OH)

🟢
Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912928441
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: November 20, 2014
Sole Proprietor: Yes

Mailing Address

16620 Downey Glen Trl

Burton, OH 440219319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.