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Thomas Jackson, MD
NPI 1700862992 · Emergency Medicine Physician · Portage, WI
Thomas Jackson, MD is a Emergency Medicine Physician provider in Portage, WI (NPI 1700862992).
Provider details
- NPI number
- 1700862992
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 21269020 (WI)
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
2817 New Pinery Rd
Divine Savior Healthcare Inc
Portage, WI 53901-9257
Phone: (608) 742-4131
Fax: (608) 745-5173
Street-level locationGet directions
Mailing address
Po Box 387
Portage, WI 53901-0387
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2012-01-30
Frequently asked questions
- What is Thomas Jackson's NPI number?
- Thomas Jackson's National Provider Identifier (NPI) is 1700862992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Jackson's specialty?
- Thomas Jackson is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Jackson located?
- Thomas Jackson's practice location on file with NPPES is 2817 New Pinery Rd, Portage, WI 53901-9257.
- What is Thomas Jackson's phone number?
- The practice phone number listed in the NPPES registry for Thomas Jackson is (608) 742-4131.
- Is Thomas Jackson's NPI active?
- Yes — Thomas Jackson's NPI (1700862992) is active in the NPPES registry as of the last update on 2012-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.