Organization Active NPI

Peeter Jakobson MD PA

  • Diagnostic Radiology Physician
  • Marathon, FL
National Provider Identifier
1144409228
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
UNKNOWN Issued in FL
Legal business name
PEETER JAKOBSON MD PA
Practice address
3301 Overseas Hwy
Fishermen'S Hospital
Marathon, FL 33050
Phone
(334) 671-1696
Fax
(334) 794-0721
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Peeter Jakobson, MDNPI 1982650313
Title
President
Phone
(334) 671-1696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X UNKNOWN FL Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X UNKNOWN FL

Addresses

Primary practice location

3301 Overseas Hwy
Fishermen'S Hospital
Marathon, FL 33050

Mailing address

3301 Overseas Hwy
Fishermen'S Hospital
Marathon, FL 33050
Phone (334) 671-1696

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1144409228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 OVERSEAS HWY",
            "address_2": "FISHERMEN'S HOSPITAL",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "33050",
            "telephone_number": "334-671-1696",
            "fax_number": "334-794-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 OVERSEAS HWY",
            "address_2": "FISHERMEN'S HOSPITAL",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "33050",
            "telephone_number": "334-671-1696",
            "fax_number": "334-794-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEETER JAKOBSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "JAKOBSON",
        "authorized_official_first_name": "PEETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-671-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "UNKNOWN",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "UNKNOWN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.