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

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1235355173

Carl-Christian Andrew Jackson, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Providence, Rhode Island. Works from 3 locations. Licensed in California, Illinois, Massachusetts and Rhode Island.

Licensed in
CA, IL, MA, RI
In the registry since
2007
Specialties on file
4
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

2 Dudley St Ste 190
Providence, RI 02905-3248
Phone: (401) 228-0623
Fax: (401) 868-2319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 750 Washington St, Boston, MA 02111-1526 — (617) 636-5025
  • 725 Albany Street, Suite 8c, Boston, MA 02118 — (617) 414-5131

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence MD18790 (RI)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence A88272 (CA)
Pediatric Surgery Physician Taxonomy 2086S0120X · Licence 231415 (MA)
Surgery Physician Taxonomy 208600000X · Licence 036-106668 (IL)

Record details

NPI number1235355173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2007
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

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