Larry A. Jackson, MD PC
Larry A. Jackson, MD PC is a healthcare organization registered as General Practice Physician in Springfield, OR, holding Type 2 (organization) NPI 1134565849 since 2013. The authorized official on file is Larry Jackson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134565849 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry A. Jackson, MD PC |
| Practice address | 1717 CENTENNIAL BLVD, SUITE 7, Springfield, OR, 97477 |
| Phone | 5417260550 |
| Fax | 5417267485 |
| Enumeration date | 2013-05-21 |
| Last updated in NPPES | 2013-05-21 |
Authorized official
| Name | Larry Jackson |
|---|---|
| Title | President |
| Phone | 5417260550 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | 08513 | OR |
Copy-ready billing details
Provider: Larry A. Jackson, MD PC NPI: 1134565849 Taxonomy: 208D00000X (General Practice Physician) Address: 1717 CENTENNIAL BLVD, SUITE 7, Springfield, OR, 97477
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1487670451 | Richard Erpelding | Individual | Family Medicine Physician | Springfield, OR |
| 1710013453 | Christopher Park | Individual | Occupational Therapist | Springfield, OR |
Verify this record
Cross-check NPI 1134565849 against the authoritative CMS record: view Larry A. Jackson, MD PC 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.
Frequently asked questions
Who is the authorized official for Larry A. Jackson, MD PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-05-21.