DR. JACOB JOSEPH DIRKMAN DO NPI 1053993881

NPI Information

  • NPI: 1053993881
  • Provider Name: DR. JACOB JOSEPH DIRKMAN, DO
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 333 PINE RIDGE BLVD
    WAUSAU, WI
    ZIP 54401
  • Phone: (800) 283-2881

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NPI Details

DR. Jacob Joseph Dirkman, DO is an emergency medical services emergency medicine in Wausau, WI with 5 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. Jacob Joseph Dirkman, DO NPI is 1053993881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:2021

The provider's business location address is:

333 PINE RIDGE BLVD
WAUSAU, WI
ZIP 54401-187
Phone: (800) 283-2881

The NPI 1053993881 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 enumeration date for this NPI number is 4/21/2021 and was last updated on 2/28/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207PE0004XEmergency MedicineEmergency Medical Services81413-21WISCONSINYes

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: 11/21/2025

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