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DR. ELLIS L. JACOBS D.P.M. NPI 1831201474


NPI Information

NPI: 1831201474
Provider Name: DR. ELLIS L. JACOBS, D.P.M.
Classification: Podiatrist - 213ES0131X
Entity Type: Individual

Specialization: Foot Surgery

Organization: BLOCK AND JACOBS PA

PECOS Registration: Yes

Address:
1001 N FEDERAL HWY
SUITE 200
HALLANDALE BEACH, FL
ZIP 33009
Phone: (954) 454-5221
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DR. Ellis L. Jacobs, D.P.M. is a foot surgery podiatrist in Hallandale Beach, FL with 52 years of experience. DR. Ellis L. Jacobs, D.P.M. NPI is 1831201474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1972

The provider's business location address is:

1001 N FEDERAL HWY
SUITE 200
HALLANDALE BEACH, FL
ZIP 33009-400
Phone: (954) 454-5221
Fax: (954) 458-4232

The NPI 1831201474 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).

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.

  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from wounds per session (HCPCS:97597)

The enumeration date for this NPI number is 8/31/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0131XPodiatristFoot SurgeryPO0652FLORIDAYes

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
1T92344MEDICARE UPINFLORIDA
287279MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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.