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

Individual provider Anesthesiology Physician · NPI 1477536928

Dr. David B. Jackson, MD is an Anesthesiology in Kenosha, Wisconsin. Graduated from Wake Forest University School of Medicine in 1992, 34 years ago. Practices with Great Lakes Anesthesia and Pain Specialists SC, a 12-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
34
Trained at
Wake Forest University School of Medicine
Licensed in
WI
In the registry since
2005
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

6308 8th Ave
Kenosha, WI 53143-5031
Phone: (262) 656-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 42186-020 (WI)

Record details

NPI number1477536928
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2005
Last updated in NPPESFebruary 15, 2009
Mailing address225 S Executive Dr, Brookfield, WI 53005-4266

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Great Lakes Anesthesia And Pain Specialists Sc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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