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DR. CHARITY ANN JACOBS M.D. NPI 1962764183


NPI Information

NPI: 1962764183
Provider Name: DR. CHARITY ANN JACOBS, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Organization: SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC

PECOS Registration: Yes

Address:
1723 BROADWAY ST STE 315
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 519-4960
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DR. Charity Ann Jacobs, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Cape Girardeau, MO with 12 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. DR. Charity Ann Jacobs, M.D. NPI is 1962764183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:2012

The provider's business location address is:

1723 BROADWAY ST STE 315
CAPE GIRARDEAU, MO
ZIP 63701-556
Phone: (573) 519-4960

The NPI 1962764183 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 6/13/2012 and was last updated on 10/11/2019.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery2019023336MISSOURIYes

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

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