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

Dr. Theodore A. Jackson, MD

Individual provider Plastic Surgery Physician · NPI 1942294376

Dr. Theodore A. Jackson, MD is a Plastic Surgery Physician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2005.

Licensed in
WV
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1306 Kanawha Blvd E Ste 100
Charleston, WV 25301-3001
Phone: (304) 342-1113
Fax: (304) 346-2271
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 13531 (WV)
Surgery of the Hand (Plastic Surgery) Physician Taxonomy 2082S0105X · Licence 13531 (WV)

Record details

NPI number1942294376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2005
Last updated in NPPESMarch 12, 2009
Mailing address1306 Kanawha Blvd E, Suite 100, Charleston, WV 25301-3001

Other providers in Charleston