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

Dr. Mark K Jackson, MD

Individual provider Diagnostic Radiology Physician · NPI 1063405538

Dr. Mark K Jackson, MD is a Diagnostic Radiology in Oswego, New York. Graduated from Tufts University School of Medicine in 1989, 37 years ago. Practices with Chenango Memorial Hospital Inc, a 109-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Trained at
Tufts University School of Medicine
Licensed in
NY
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

110 W 6th St
Oswego, NY 13126-2507
Phone: (315) 349-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 196101 (NY)

Record details

NPI number1063405538
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2005
Last updated in NPPESSeptember 13, 2007
Mailing address104 W Utica St, Oswego, NY 13126-3031

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Chenango Memorial Hospital Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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