Active NPI
Marina Jacobson, P.A.-C
- Medical Physician Assistant
- McAllen, TX
National Provider Identifier
1114044120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA01836
- Practice address
- 1801 S 5TH St Ste 130
McAllen, TX 78503-2915 - Phone
- (956) 687-7863
- Fax
- (956) 687-6405
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA01836 | TX | Primary |
Addresses
Primary practice location
1801 S 5TH St Ste 130
McAllen, TX 78503-2915
Mailing address
PO Box 4449
McAllen, TX 78502-4449
Phone (956) 362-2171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01836 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1114044120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4449",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785024449",
"telephone_number": "956-362-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 S 5TH ST STE 130",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785032915",
"telephone_number": "956-687-7863",
"fax_number": "956-687-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "MARINA",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA01836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.