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DR. JASON SANFORD JACOB MD NPI 1417033051


NPI Information

NPI: 1417033051
Provider Name: DR. JASON SANFORD JACOB, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: TRA-MINW, PS

PECOS Registration: Yes

Address:
1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Get Directions

DR. Jason Sanford Jacob, MD is a diagnostic radiology radiology in Tacoma, WA with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jason Sanford Jacob, MD NPI is 1417033051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1417033051 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 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.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of abdomen, single view (HCPCS:74000)
  • Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 6/6/2018.


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
12085N0904XRadiologyNuclear RadiologyMD00047516WASHINGTONNo
22085R0202XRadiologyDiagnostic RadiologyMD00047516WASHINGTONYes

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
10345133OTHERWASHINGTONLABOR & INDUSTRY-TRA
20230052OTHERWASHINGTONLABOR & INDUSTRY-TRA KING COUNTY
30230054OTHERWASHINGTONLABOR & INDUSTRY-UNION AVE
41054847MEDICAIDWASHINGTON

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.