Dr. Walter Osborne Jackson, MD
Dr. Walter Osborne Jackson, MD is an Emergency Medicine in Fort Wayne, Indiana. Graduated from Yale University School of Medicine in 1995, 31 years ago. Practices with Santa Ana Physicians Group PC, a 16-clinician group and accepts Medicare assignment. Licensed in California, Georgia, Indiana and North Dakota and 1 more.
- Years since qualifying
- 31
- Trained at
- Yale University School of Medicine
- Licensed in
- CA, GA, IN, ND, SC
- In the registry since
- 2006
- Specialties on file
- 5
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10329 Greenoak BlvdFort Wayne, IN 46814-9546
Phone: (260) 616-0681
Fax: (866) 513-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 01067150A (IN) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 23797 (SC) |
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 48786 (GA) |
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 7739 (ND) |
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence A070415 (CA) |
Record details
| NPI number | 1902982796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 27, 2006 |
| Last updated in NPPES | June 5, 2013 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | Santa Ana Physicians Group Pc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Wayne
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John Heemstra, MD
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Chad Hemmer, MD
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Dr. Diane L Hopen, MD
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Inphynet Primary Care Physicians Midwest, SC
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Zachary Jakubik, DO
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Dr. Nathan James, MD
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Jeffrey Franklin Jones, MD
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Sai Anudeep Kollipara, MD
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