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JOB JACOB M.D. NPI 1053377101


NPI Information

NPI: 1053377101
Provider Name: JOB JACOB, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

CLIA Number: 04D0953662

Address:
965 CARSON CV STE A
CONWAY, AR
ZIP 72034
Phone: (501) 513-2628
Get Directions

Job Jacob, M.D. is a gastroenterology internal medicine in Conway, AR with 45 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Job Jacob, M.D. NPI is 1053377101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

965 CARSON CV STE A
CONWAY, AR
ZIP 72034
Phone: (501) 513-2628
Fax: (501) 513-2630

The NPI 1053377101 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 04D0953662 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • Biopsy of large bowel using an endoscope (HCPCS:45380)
  • Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)

The enumeration date for this NPI number is 4/25/2006 and was last updated on 8/1/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineR-4415ARKANSASNo
2207RG0100XInternal MedicineGastroenterologyR-4415ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1122956001MEDICAIDARKANSAS
255893OTHERARKANSASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.