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

J Ryan Jackson, DO

Individual provider MOHS-Micrographic Surgery Physician · NPI 1346633161

J Ryan Jackson, DO is a Micrographic Dermatologic Surgery (Mds) in Mesa, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2015, 11 years ago. Practices with La Paz Dermatology PLLC, a 2-clinician group. Licensed in Arizona.

Years since qualifying
11
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2015
Specialties on file
2
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

8405 E Baseline Rd Ste 104
Mesa, AZ 85209-4376
Phone: (480) 674-3295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 007930 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence 007930 (AZ)

Record details

NPI number1346633161
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 18, 2015
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address8405 E Baseline Rd Ste 104, Mesa, AZ 85209-4376

Medicare enrollment

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

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice La Paz Dermatology Pllc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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