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

Robert Elvon Jackson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184740045

Robert Elvon Jackson, MD is an Urology in Meridian, Idaho. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2006, 20 years ago. Practices with Urology Clinic, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Michigan.

Years since qualifying
20
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
ID, MI
In the registry since
2007
Specialties on file
3
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

875 S Vanguard Way Ste 200 D
Meridian, ID 83642
Phone: (208) 782-6730
Fax: (208) 759-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence M-11868 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301087650 (MI)
Urology Physician Taxonomy 208800000X · Licence 4301087650 (MI)

Record details

NPI number1184740045
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address875 S Vanguard Way, Suite 200 D, Meridian, ID 83642

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Urology Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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