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DR. THOMAS C JACKSON MD
NPI 1629186242
Internal Medicine in Milwaukee, WI

Active since August 25, 2006
1020 N 12TH ST, 2ND FLOOR, MILWAUKEE, WI 53233(414) 219-7136(414) 219-6294 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas C Jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS C JACKSON MD (NPI 1629186242) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (17097) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1629186242
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS C JACKSONCredential: MD
Location Address1020 N 12TH ST, 2ND FLOORMilwaukee, WI 53233
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 647-6326 · Fax (414) 671-8860
Phone(414) 219-7136
Fax(414) 219-6294
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1629186242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 17097
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1020 N 12TH ST, Milwaukee, WI 53233
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Other Identifiers 1

Medicaid30918800WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SORYAL A SORYAL M.D
Internal Medicine (Geriatric Medicine)
1020 N 12TH ST, 3RD FLOOR
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7300
LAUREL R MAREK APNP
Nurse Practitioner
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7300
MICHAEL GUARD SCAHILL PNCB
Nurse Practitioner (Pediatrics)
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 266-6229
DR. ANDREW MARK BRYANT PHD
Clinical Neuropsychologist
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 773-4312
MELISSA J LYDECKER PT
Physical Therapist
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7300
MRS. LILLIE R BOBO RPH
Pharmacist
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-7963
AMANDA L GRAGG LPC
Counselor (Mental Health)
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 773-4312
MS. REBECCA A SCHULTZ NP
Nurse Practitioner
1020 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 647-6936

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1629186242. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Thomas Jackson located?

Thomas Jackson practices at 1020 N 12th St 2nd Floor, Milwaukee, WI 53233. The listed phone number is (414) 219-7136.

What is Thomas Jackson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Thomas Jackson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.