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

Dr. Susan Marie Jackson, DO

Individual provider Family Medicine Physician · NPI 1780749671

Dr. Susan Marie Jackson, DO is a Family Practice in Hallstead, Pennsylvania. Graduated from Kansas City University of Physicians and Surgeons in 1997, 29 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri, New York and Pennsylvania.

Years since qualifying
29
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
MO, NY, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

25066 Sr 11
Hallstead, PA 18822
Phone: (570) 879-5249
Fax: (570) 879-2418
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS015552 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2000163890 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 244722 (NY)

Record details

NPI number1780749671
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 22, 2006
Last updated in NPPESMay 8, 2013
Mailing address25054 Sr 11, Hallstead, PA 18822

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 1997 (29 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services