Jon S Jacobson MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

14654 Issued in AZ

Legal business name

JON S JACOBSON MD

Practice address

13943 N 91St Ave
BLDG G
Peoria, AZ 85381-3687

Phone

(623) 974-5530

NPI assigned

Aug 18, 2006

Last updated

Apr 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon S. Jacobson, M.D.NPI 1558475681

Title

Owner

Phone

(623) 974-5530

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon S Jacobson, MD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1558475681
  NPD (past) Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1134233273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4387",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262620",
            "telephone_number": "928-634-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "BLDG G",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813687",
            "telephone_number": "623-974-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON S JACOBSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-974-5530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "14654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Johnson
• Margaret Ann Johnson
• Marianne Johnson
• Sandra Jean Johnson, PHARMD
• Patricia Dawn Johnston
• Salahudeen Y Jones Cook
• Melinda Jones-Saah, MSN, APRN, FNP
• Amanda Rose Jones, PA
• Grace Lingad Jones, PHARMD
• Jennifer Jones

• Ophthalmology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.