Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark R. Jackson, MD

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1003877077

Dr. Mark R. Jackson, MD is an Emergency Medicine in Tooele, Utah. Qualified in 1995, 31 years ago. Practices with Fedko Emergency Physicians New Mexico, LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
31
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1474 E Erda Way
Tooele, UT 84074-9737
Phone: (435) 849-0779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 5929640-1205 (UT)

Record details

NPI number1003877077
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESMarch 21, 2016
Mailing address1474 E Erda Way, Tooele, UT 84074-9737

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Fedko Emergency Physicians New Mexico, Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Tooele