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

Kevin Jackson, CAA

Individual provider Anesthesiologist Assistant · NPI 1477925287

Kevin Jackson, CAA is an Anesthesiology Assistant in Mayfield Heights, Ohio. Qualified in 2015, 11 years ago. Practices with Anesthesia Associates of Columbus PA, a 26-clinician group. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015

Practice location Address checks out

6780 Mayfield Rd
Mayfield Heights, OH 44124-2203
Phone: (440) 312-4500
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67.000265 (OH)

Record details

NPI number1477925287
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedOctober 21, 2015
Last updated in NPPESOctober 21, 2015
Mailing address911 Northboro Dr, Mayfield Village, OH 44143-3429

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Anesthesia Associates Of Columbus Pa — 26 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

Other providers in Mayfield Heights