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

Matthan Jackson, DO

Individual provider Family Medicine Physician · NPI 1194170571

Matthan Jackson, DO is a Family Practice in Elkins, West Virginia. Graduated from West Virginia School of Osteopathic Medicine in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
10
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
WV
In the registry since
2016
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.

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Practice location Address checks out

240 Allegheny Hwy
Elkins, WV 26241-5749
Phone: (304) 636-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 46 Town Center Plz Ste A, Mill Creek, WV 26280-9752 — (304) 335-2050

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3347 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1194170571
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2016
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address240 Allegheny Hwy, Elkins, WV 26241-5749

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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