Individual provider · Type 1 NPI
Edwin J. Jackson Jr., DO
Critical Care Medicine (Internal Medicine) Physician · Danville, IN
Practice location
112 Hospital Ln Ste 303
Danville, IN 46122
Fax (317) 718-4005
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 720 Eskenazi Ave, Indianapolis, IN 46202-5187 · (317) 808-2224
- 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (888) 484-3258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 02005444A (IN) |
| Internal Medicine Physician | 207R00000X | 34. 010939 (OH) |
| Pulmonary Disease Physician | 207RP1001X | 34.010939 (OH) |
| Pulmonary Disease Physician | 207RP1001X | 02005444A (IN) |
| Critical Care Medicine (Internal Medicine) Physician Primary | 207RC0200X | 02005444A (IN) |
Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
4 other providers at this address
- Beau Prescott Semler, NPGerontology Nurse Practitioner Danville, IN NPI 1972194561
- Lirim Krveshi, DOPulmonary Disease Physician Danville, IN NPI 1255759536
- Sami Abuqayyas, MDPulmonary Disease Physician Danville, IN NPI 1780024273
- Sumit Rishi Chawla, MDPulmonary Disease Physician Danville, IN NPI 1407122740
About NPI 1972827335
Edwin J. Jackson Jr., DO's National Provider Identifier is 1972827335, issued on Mar 15, 2010. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Danville, IN. The record was last updated on Mar 11, 2025.