NPI age
13 years
Enumerated 2012-09-11
● Active
Type 1 · Individual
William Jackson, M.D.
Jackson is 1 of 6 family medicine providers in Payette and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-04-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Practice location
1441 Ne 10th Ave
Payette, ID 836615420
Mailing address
1441 Ne 10th Ave
Payette, ID 836615420
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2327 Sw 4th Ave
Ontario, OR 979141851
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | M-14093 | STATE OF IDAHO MEDICAL LICENSE |
| 01 (OR) | MD187049 | STATE OF OREGON, MEDICAL LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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