Ramon Jordan Jackson III, MD
NPI 1477175008ActiveIndividual· Student in an Organized Health Care Education/Training Program· Greenvale, NY
Student in an Organized Health Care Education/Training Program (MD) in Greenvale, New York, trained at University of Mississippi School of Medicine (class of 2018). Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1477175008 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 18, 2020 |
| Last updated in NPPES | May 19, 2020 |
| Certified by provider | May 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (MS) |
|---|
Education and affiliations
| Medical school | University of Mississippi School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Pathology |
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