Thomas V. Jackson, MD
Emergency Medicine Physician · Portage, WI
Thomas V. Jackson, MD is an emergency medicine physician with a practice address in Portage, Wisconsin, and NPI 1700862992, issued on Dec 20, 2005. Check the license (Wisconsin 21269020, as entered in NPPES) on the Wisconsin Medical Examining Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Thomas V. Jackson
- Credential
- MD
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- License number
- 21269020 WI
Self-reported in NPPES; status is on the state search - Practice location
- 2817 New Pinery RD, Portage, WI 53901
- Phone
- (608) 742-4131
- Enumerated
- Dec 20, 2005
- Record last updated
- Jan 30, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (608) 745-5173
- Medicaid ID
- 30128500 WI
- Entity
- Type 1 · individual
8 nearest emergency medicine physician records → All 1,464 in Wisconsin → Look up another NPI →
Also registered at 2817 New Pinery RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hythem Abad, DOEmergency Medicine Physician1548799455
- Andrew Acker, ATCAthletic Trainer1821497165
- Melissa Albrecht, DPTPhysical Therapist1780870238
- Steven Allison, LATAthletic Trainer1689917189
- Tracey Allison, PTPhysical Therapist1427243609
- Christi-Jo Barden, APNPFamily Nurse Practitioner1891136271
Verify Thomas V. Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 21269020Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Thomas V. Jackson among 1,464 emergency medicine physician records in Wisconsin
Thomas V. Jackson, MD is one of 1,464 emergency medicine physician records with a practice address in Wisconsin. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 92% newer
- In a Medicare fileNo · 79% of these records are
- In the CMS Doctors and Clinicians fileNo · 58% of these records are
- Record last updated2012 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 emergency medicine physician records list a practice address in Portage
They are 8 of the 343 NPPES records with a practice address in Portage, and 1,464 emergency medicine physician records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,464 in Wisconsin → Every provider in Portage → Emergency Medicine Physician nationwide →
The 8 emergency medicine physician records with the nearest ZIP codes
- Hythem Abad, DOPortage, WI 539011548799455
- Charles Boursier, MDPortage, WI 539011619950888
- James Gariti, MDPortage, WI 539011174506307
- Gregory Keeling, MDPortage, WI 539011235112467
- Brian Stubitsch, MDPortage, WI 539011528041753
- Terra ThimmPortage, WI 539011033613179
- Michael Walters, MDPortage, WI 539011063473973
- Timothy May, MDBaraboo, WI 539131952380362
Common questions
What is Thomas V. Jackson, MD's NPI number?
Thomas V. Jackson, MD's National Provider Identifier (NPI) is 1700862992, issued on Dec 20, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Thomas V. Jackson, MD located?
The NPPES record lists a practice address at 2817 New Pinery RD, Portage, WI, 53901. Phone: (608) 742-4131. Providers update this record themselves, so call before visiting.
How can I verify Thomas V. Jackson, MD's license?
NPPES lists Wisconsin license number 21269020, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.