Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Atiba Diarra Jackson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1033329990

Atiba Diarra Jackson, MD is an Orthopedic Surgery in Dayton, Ohio. Graduated from Cincinnati College of Medicine and Surgery in 2004, 22 years ago. Practices with Orthopedic Associates of SW Ohio Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Trained at
Cincinnati College of Medicine and Surgery
Licensed in
OH
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4160 Little York Rd Ste 10
Dayton, OH 45414-5803
Phone: (937) 415-9100
Fax: (937) 415-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 35.089443 (OH)

Record details

NPI number1033329990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESSeptember 16, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolCINCINNATI COLLEGE OF MEDICINE AND SURGERY
Graduated 2004 (22 years in practice)
Group practice Orthopedic Associates Of Sw Ohio Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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