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Edwin J Jackson Jr., DO

Critical Care Medicine (Internal Medicine) Physician in Danville, IN · enumerated 2010.

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

National Provider Identifier

1972827335

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Registry record

Entity type Individual (Type 1)
Name Edwin J Jackson Jr.
Credential DO
Sex Male
Practice address 112 Hospital Ln Ste 303, Danville, IN, 46122
Phone (317) 718-4000
Fax (317) 718-4005
Enumeration date Mar 15, 2010
Last updated in NPPES Mar 11, 2025

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 02005444A (IN) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 34. 010939 (OH) Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians · License 34.010939 (OH) Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians · License 02005444A (IN) Secondary
207RC0200X Critical Care Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 02005444A (IN) Primary
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier Type State Issuer
000001612224 Other IN ANTHEM PTAN
0093373 Medicaid OH -

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

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Edwin Jackson?
Edwin Jackson is registered in NPPES with the primary taxonomy of Critical Care Medicine (Internal Medicine) Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-11.