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JOB JACOB MD PLLC NPI 1124152236


NPI Information

NPI: 1124152236
Provider Name: JOB JACOB MD PLLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

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

JOB JACOB MD PLLC is a gastroenterology internal medicine in Conway, AR. 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 MD PLLC NPI is 1124152236. The provider is registered as an organization entity type and is a multi-specialty group.

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 provider's authorized official is Job Jacob .
The authorized official title is Owner and has the following contact phone number (501) 513-2628.

The enumeration date for this NPI number is 3/14/2007 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
1207RG0100XInternal MedicineGastroenterologyMC-2479ARKANSASYes

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
1161356002MEDICAIDARKANSAS
2MC-2479OTHERARKANSASSTATE LICENSE PLLC NUMBER

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

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