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

Dr. Ryan Scott Jackson, MD

Individual provider Otolaryngology Physician · NPI 1710114582

Dr. Ryan Scott Jackson, MD is an Otolaryngology in Saint Louis, Missouri. Graduated from St Louis College of Physicians and Surgeons in 2009, 17 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Trained at
St Louis College of Physicians and Surgeons
Licensed in
MO
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

4921 Parkview Pl Dept Otolaryngology Ste 11A
Saint Louis, MO 63110-1032
Phone: (314) 362-7509
Fax: (314) 362-7522
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2015010898 (MO)

Record details

NPI number1710114582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2009
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2009 (17 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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