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

Thomas Andrew Jackson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1740649011

Thomas Andrew Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Salem, Ohio. Qualified in 2015, 11 years ago. Practices with University of Pittsburgh Physicians, a 4,127-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2016
Specialties on file
2
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

1995 E State Street Salem Regional Medical Ctr
Salem, OH 44460
Phone: (330) 332-1551
Fax: (330) 332-7899
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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 COA.18640-NA (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.396530-1 (OH)

Record details

NPI number1740649011
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 16, 2016
Last updated in NPPESNovember 11, 2023
Certification dateNovember 11, 2023
Mailing address2507 N Mercer St, New Castle, PA 16105-1707

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Pittsburgh Physicians — 4127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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