Edwin J Jackson Jr., DO
Edwin J Jackson Jr. is a Critical Care Medicine (Internal Medicine) Physician provider (Internal Medicine) practicing in Danville, IN, registered in the NPPES registry with NPI 1972827335 since 2010. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972827335 |
|---|---|
| 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 | 3177184000 |
| Fax | 3177184005 |
| Enumeration date | 2010-03-15 |
| Last updated in NPPES | 2025-03-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | 02005444A | IN |
| 207R00000X | Internal Medicine Physician | Secondary | 34. 010939 | OH |
| 207RP1001X | Pulmonary Disease Physician | Secondary | 34.010939 | OH |
| 207RP1001X | Pulmonary Disease Physician | Secondary | 02005444A | IN |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | Primary | 02005444A | IN |
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 | — |
Copy-ready billing details
Provider: Edwin Jackson, DO NPI: 1972827335 Taxonomy: 207RC0200X (Critical Care Medicine (Internal Medicine) Physician) Address: 112 HOSPITAL LN STE 303, Danville, IN, 46122
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407122740 | Sumit Chawla | Individual | Pulmonary Disease Physician | Danville, IN |
| 1780024273 | Sami Abuqayyas | Individual | Pulmonary Disease Physician | Danville, IN |
| 1255759536 | Lirim Krveshi | Individual | Pulmonary Disease Physician | Danville, IN |
| 1972194561 | Beau Semler | Individual | Gerontology Nurse Practitioner | Danville, IN |
Verify this record
Cross-check NPI 1972827335 against the authoritative CMS record: view Edwin J Jackson Jr. on the official NPPES registry .
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. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-03-11.