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Larry D. Jackson, PA-C

NPI 1912928441ActiveIndividual· Physician Assistant· Youngstown, OH

Physician Assistant (PA-C) in Youngstown, Ohio, licensed in OH, with an NPI issued in July 2006.

Overview

NPI1912928441
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedJul 21, 2006
Last updated in NPPESNov 20, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X50-000351OH
Personal Emergency Response Attendant146D00000X50000351OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Youngstown

All 56 physician assistants in Youngstown · All physician assistants in Ohio