DR. ELISE A JACQUES MD NPI 1619965977

NPI Information

NPI: 1619965977
Provider Name: DR. ELISE A JACQUES, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
123 SUMMER ST
SUITE 650
WORCESTER, MA
ZIP 01608
Phone: (508) 363-9570
Get Directions

DR. Elise A Jacques, MD is a gastroenterology internal medicine in Worcester, MA. 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. DR. Elise A Jacques, MD NPI is 1619965977. 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:

123 SUMMER ST
SUITE 650
WORCESTER, MA
ZIP 01608-216
Phone: (508) 363-9570
Fax: (508) 363-9590

The enumeration date for this NPI number is 10/11/2005 and was last updated on 1/13/2011.

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
1	207RG0100X	Internal Medicine	Gastroenterology	37631	MASSACHUSETTS	Yes

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
1	N01766	MEDICARE PIN	MASSACHUSETTS
2	B99317	MEDICARE UPIN
3	2062925	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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