Thomas Isaac Jackson, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

024260 Issued in IL

Practice address

8166 Main St
Houma, LA 70360-3404

Phone

(985) 873-4150

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Michael E Isabelle MD Apmc

  • Emergency Medicine Physician
  • Houma, LA
  • NPI 1083883474
  NPD (past)
• Professional Emergency Physician Associates, LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1992758247
  NPD (past)
• Ascension Seton

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750302428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 HAWTHORNE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606066",
            "telephone_number": "985-223-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-873-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "THOMAS",
        "middle_name": "ISAAC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "024260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isr Physical Therapy of Houma
• Gladis Izaguirre
• J Bruce Steigner MD Facs,a Medical Corporation
• J Michael Flynn D C LLC
• Demecia Jackson, M. ED
• Brittany Geist James, APRN, FNP-C
• Matthew Phillip James, PA-C
• Sarah James
• Estefania Jaramillo-Macrae, MD
• Jason Wonch OD and Associates Apc

• Emergency Medicine Physician in Houma, LA
• Providers in Houma, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.