Search › Indiana › 2080P0207X
Kyle Jackson, MD
NPI 1194967604 · on the registry since 2009
Practice
- Address
- 705 Riley Hospital Dr
Roc 4340
Indianapolis, IN 46202 - Phone
- (317) 944-2143
- Fax
- (317) 944-3107
- Organisation at this address
- Roc Surgery Llc
Riley Hospital For Children
Indiana University Health Inc
Indiana University Health Inc
Professional Staff ManagementInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,229
Additional practice sites
- 7150 Clearvista Dr, Indianapolis, IN
- 11104 Parkview Circle Dr Ste 50, Fort Wayne, IN
Registry record
- Primary taxonomy
- 2080P0207X
2080P0207X
- Also registered as
- 208M00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana