OrganizationActive
Jackson Health and Theater
NPI 1548201635 · Emergency Medicine Physician · Pahrump, NV
Provider details
- NPI number
- 1548201635
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Jackson, Member(702) 326-2149
- License
- 10306 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 South Lola Lane
Pahrump, NV 89048
Phone: (775) 751-7833
Street-level locationGet directions
Mailing address
11103 Kilkerran Ct
Las Vegas, NV 89141-4356
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2007-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.