Derek Jackson
NPI 1699561209ActiveIndividual· Assistant, Podiatric· Tucson, AZ
Assistant, Podiatric in Tucson, Arizona, with an NPI issued in April 2025.
Overview
| NPI | 1699561209 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 18, 2025 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assistant, Podiatric Primary | 211D00000X | — | AZ |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Assistant, Podiatric providers in Tucson
- 1447190079
- 1447099858
- 1366238925
- 1225611106
- 1487595674
- 1235999038
- 1649112764
- 1720873425
- 1235071085
- 1992596217