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

Dr. Ryan Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770603102

Dr. Ryan Jackson, MD is an Anesthesiology in St George, Utah. Graduated from University of Utah School of Medicine in 2005, 21 years ago. Practices with Mountain West Anesthesia LLC, a 265-clinician group and accepts Medicare assignment. Licensed in Michigan and Utah.

Years since qualifying
21
Trained at
University of Utah School of Medicine
Licensed in
MI, UT
In the registry since
2007
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

1380 E Medical Center Dr
St George, UT 84790-2123
Phone: (435) 634-4000
Fax: (678) 285-6777
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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 9344119-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301087396 (MI)

Record details

NPI number1770603102
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 18, 2016
Mailing addressPo Box 3570, Salt Lake City, UT 84110-3570

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Mountain West Anesthesia Llc — 265 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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