SAM JACKSON M.D. – NPI #1083812366
Emergency Medicine
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. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
SAM JACKSON is a physician located in PHOENIX, AZ. NPPES has assigned the NPI number 1083812366 to SAM JACKSON on July 06, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.
The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAM JACKSON below.
NPI Profile for
SAM JACKSON
(about 19 years ago)
FLOOR 2
PHOENIX, AZ 85006-2502 Phone: (602) 239-2280 Fax: (602) 239-4138
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207P00000X - Emergency Medicine (Primary) |
AZ | 35554 |
| 207PT0002X - Emergency Medicine / Medical Toxicology |
AZ | 77351 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.