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

Individual provider Certified Registered Nurse Anesthetist · NPI 1295799112

Robert J Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Canton, Ohio. Qualified in 1985, 41 years ago. Practices with Ohio Hospital-Based Physicians Corporation, a 71-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
41
Licensed in
OH
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2600 Sixth Street SW Ohio Hospital Based Physician Corp
Canton, OH 44710
Phone: (330) 363-7462
Fax: (330) 363-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence COA01766NA (OH)

Record details

NPI number1295799112
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022
Mailing addressPo Box 80690, Canton, OH 44708-0690

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Ohio Hospital-Based Physicians Corporation — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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