Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Theodore A. Jackson, M.D.

Plastic Surgery Physician in Charleston, WV · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942294376

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Registry record

Entity type Individual (Type 1)

Name Dr. Theodore A. Jackson

Credential M.D.

Sex Male

Practice address 1306 Kanawha Blvd E, Suite 100, Charleston, WV, 25301

Phone (304) 342-1113

Fax (304) 346-2271

Enumeration date Aug 31, 2005

Last updated in NPPES Mar 12, 2009

Taxonomy & licenses

208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License 13531 (WV) Primary

2082S0105X Surgery of the Hand (Plastic Surgery) Physician Allopathic & Osteopathic Physicians · License 13531 (WV) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
0051155000	Medicaid	WV	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Theodore Jackson's NPI record?

Cross-check NPI 1942294376 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1942294376 active?

Yes, as of the latest NPPES snapshot, NPI 1942294376 is active (record last updated 2009-03-12).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-12.