Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heather D. Jackson, PA-C

Individual provider Physician Assistant · NPI 1366957268

Heather D. Jackson, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2017, 9 years ago. Practices with Osu Surgery, LLC, a 204-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

452 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-5502
Fax: (614) 293-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005535RX (OH)

Record details

NPI number1366957268
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2017
Last updated in NPPESMarch 28, 2018
Mailing address700 Ackerman Rd Ste 570, Columbus, OH 43202-1579

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Osu Surgery, Llc — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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