John M Jacocks, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

7019 Issued in HI

Practice address

FBCH - Aviation Medicine Clinic
9300 Dewitt Loop
Fort Belvoir, VA 22060

Phone

(571) 231-7334

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1063403020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 S PARK CIR",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392908",
            "telephone_number": "703-440-1088",
            "fax_number": "703-806-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FBCH - AVIATION MEDICINE CLINIC",
            "address_2": "9300 DEWITT LOOP",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "22060",
            "telephone_number": "571-231-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOCKS",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "7019",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "HI",
            "license": "7019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macon Loshawn Irick, LCSW
• Georgina Irondi, LCSW-C
• Leticia Salo Isidro-Clancy, MA, LPC-MFT, LADC
• Carol Bowser Jackson, RN
• Regina Lynne Jacobs, RDH
• Ashley Alexandra Jaeger, M.D.
• Bonnie Freid James, PA-C
• Tamara J James, LCSW
• Taylor Marie James, M.D.
• Aaron Charles Jannings, M.D.

• Aerospace Medicine Physician in Fort Belvoir, VA
• Providers in Fort Belvoir, VA by specialty
• Aerospace Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.