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

Dr. Derrick O'Neal Jackson, DPM

Individual provider Podiatrist · NPI 1518080811

Dr. Derrick O'Neal Jackson, DPM is a Podiatrist in Youngstown, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

420 Oak Hill Ave
Youngstown, OH 44502-1415
Phone: (330) 870-3900
Fax: (330) 870-3901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 36003456 (OH)
Podiatrist Taxonomy 213E00000X · Licence 30003456 (OH)
Radiology Podiatrist Taxonomy 213ER0200X · Licence 36003456 (OH)

Record details

NPI number1518080811
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 9, 2007
Last updated in NPPESApril 5, 2022
Certification dateApril 5, 2022

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