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

Individual provider Anesthesiology Physician · NPI 1053603886

Kirk Raymond Jackson Jr., MD is an Anesthesiology in Philadelphia, Pennsylvania. Graduated from Baylor College of Medicine in 2011, 15 years ago. Practices with Baylor College of Medicine, a 1,218-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
15
Trained at
Baylor College of Medicine
Licensed in
TX
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4206
Phone: (215) 662-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence Q7891 (TX)

Record details

NPI number1053603886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2011
Last updated in NPPESApril 20, 2017

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Baylor College Of Medicine — 1218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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