MARY ANN JACOB M.D. NPI 1194741041

NPI Information

  • NPI: 1194741041
  • Provider Name: MARY ANN JACOB, M.D.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • Address: 2841 DEBARR RD
    SUITE 45
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 274-0274

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NPI Details

Mary Ann Jacob, M.D. is a pediatrics in Anchorage, AK. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mary Ann Jacob, M.D. NPI is 1194741041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2841 DEBARR RD
SUITE 45
ANCHORAGE, AK
ZIP 99508-932
Phone: (907) 274-0274

The enumeration date for this NPI number is 7/14/2006 and was last updated on 7/8/2007.

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
1208000000XPediatrics3150ALASKAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F39153MEDICARE UPIN
2MD04901MEDICAIDALASKA

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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