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

Dr. Ollie Joseph Jackson III, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1104084698

Dr. Ollie Joseph Jackson III, MD is a General Surgery in Beverly Hills, California. Graduated from University of Oklahoma College of Medicine in 2001, 25 years ago. Practices with Wound Docs APC, a 22-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Trained at
University of Oklahoma College of Medicine
Licensed in
CA
In the registry since
2008
Specialties on file
2
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

9001 Wilshire Blvd Ste #106
Beverly Hills, CA 90211-1838
Phone: (310) 273-8885
Fax: (310) 273-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A103543 (CA)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence A103543 (CA)

Record details

NPI number1104084698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 30, 2008
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Wound Docs Apc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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