Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAM JACKSON, M.D.
ActiveDR. SAM JACKSON, M.D. is a Emergency Medicine healthcare provider located in PHOENIX, Arizona. NPI 1083812366 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · PHOENIX, AZ
Registration Details
- NPI Number
- 1083812366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2007 (19.106700389469 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
35554 (AZ)77351 (AZ)
Practice Information
- Address
-
925 E MCDOWELL RDFLOOR 2PHOENIX, AZ, 850062502Browse AZ providers · Browse ZIP 85006
- Phone
- 6022392280
- Fax
- 6022394138
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Medical Toxicology
Other Emergency Medicine Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. TODD BRIAN TAYLOR | M.D. | 1255334785 |
| ANDRZEJ DMOWSKI | MD | 1518960996 |
| DR. AARON C LOVE | DO | 1619962362 |
| DR. PETER WILLIAM VANN | MD | 1134110828 |
| DR. MICHAEL DAVID BECK | MD | 1447241237 |
| DR. ALAN C SCHWARTZ | MD | 1790776581 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.