P Praxis·MD
● Active Type 1 · Individual

MR. Thomas Michael Jackson, DO

Emergency Medicine·Carmen, ID· NPI 1134380694 · Enumerated 2008 · 17 years on NPI
Jackson is 1 of 1 emergency medicine providers in Carmen and 1 of 336 in Idaho.
NPI age
17 years
Enumerated 2008-06-18
Primary specialty
Emergency Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-06-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
40% of peers hold multiple states
Subspecialties
0
51% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
7 Bitterroot Road
Carmen, ID 83462
📞 2087568047
Mailing address
7 Bitterroot Road, Po Box 47
Carmen, ID 83462
📞 2087568047

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    ID license #021 taxonomy 207P00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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