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JACOB AARON ROBERTS DO NPI 1265474472


NPI Information

NPI: 1265474472
Provider Name: JACOB AARON ROBERTS, DO
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
620 NORTH MAIN
HARRISON, AR
ZIP 72601
Phone: (870) 365-2000
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Jacob Aaron Roberts, DO is an emergency medicine in Harrison, AR with 23 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Jacob Aaron Roberts, DO NPI is 1265474472. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2001

The provider's business location address is:

620 NORTH MAIN
HARRISON, AR
ZIP 72601-926
Phone: (870) 365-2000
Fax: (360) 738-6377

The NPI 1265474472 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 6/12/2006 and was last updated on 6/17/2014.


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
1207P00000XEmergency MedicineOP00002055WASHINGTONNo
2207P00000XEmergency MedicineE-6639ARKANSASYes

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
10207213OTHERWASHINGTONLIWA
2G8859331MEDICARE PINWASHINGTON
3P00370063MEDICARE PINWASHINGTON
48448532MEDICAIDWASHINGTON
50207212OTHERWASHINGTONLIWA
685490OTHERAR BLUE CROSS
7I50844MEDICARE UPINWASHINGTON
81153ROOTHERWASHINGTONBSWA
91771ROOTHERWASHINGTONBSWA
10343904YJC8MEDICARE PINARKANSAS

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: 4/28/2024

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.