Organization Active NPI

Richard P. Jacobs, M.D. P.C.

  • Urology Physician
  • Pittsburgh, PA
National Provider Identifier
1023209772
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
RICHARD P. JACOBS, M.D. P.C.
Practice address
532 S Aiken Ave
Suite 414
Pittsburgh, PA 15232-1521
Phone
(412) 681-6632
Fax
(412) 681-8760
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard P Jacobs, M.D.
Title
President
Phone
(412) 681-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

532 S Aiken Ave
Suite 414
Pittsburgh, PA 15232-1521

Mailing address

532 S Aiken Ave
Suite 414
Pittsburgh, PA 15232-1521
Phone (412) 681-6632

Other identifiers 2

IdentifierTypeStateIssuer
001294209 0001MedicaidPA
1073572509OtherPANPI

National Provider Directory

National Provider Directory

Locations

532 S Aiken Ave
Ste 414
Pittsburgh, PA 15232
Phone (412) 681-6632

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1023209772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 S AIKEN AVE",
            "address_2": "SUITE 414",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321521",
            "telephone_number": "412-681-6632",
            "fax_number": "412-681-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 S AIKEN AVE",
            "address_2": "SUITE 414",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321521",
            "telephone_number": "412-681-6632",
            "fax_number": "412-681-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD P. JACOBS, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-681-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001294209 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073572509",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.