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

Dr. Dustin J Jackson, MD

Individual provider Anesthesiology Physician · NPI 1689807679

Dr. Dustin J Jackson, MD is an Anesthesiology in Canonsburg, Pennsylvania. Graduated from Pennsylvania State University College of Medicine in 2009, 17 years ago. Practices with Allegheny Clinic, a 2,300-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Pennsylvania State University College of Medicine
Licensed in
PA
In the registry since
2009
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

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone: (412) 359-3155
Fax: (412) 359-3483
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD448804 (PA)

Record details

NPI number1689807679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2009
Last updated in NPPESNovember 19, 2022
Certification dateNovember 19, 2022
Mailing address320 E North Ave, Pittsburgh, PA 15212-4756

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Allegheny Clinic — 2300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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