Dan G. Jacobson, MD, PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DAN G. JACOBSON, MD, PA

Practice address

432 SE Osceola St
Stuart, FL 34994-2577

Phone

(772) 286-1812

Fax

(772) 288-4784

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dan Gregory Jacobson, M.D., M.S.

Title

President

Phone

(772) 286-1812

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1184951857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942577",
            "telephone_number": "772-286-1812",
            "fax_number": "772-288-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942577",
            "telephone_number": "772-286-1812",
            "fax_number": "772-288-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN G. JACOBSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-286-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA AND VERY OLD MEDICARE ISSUED 041186",
            "identifier": "01280",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean David Dakshaw, DO
• Jordan Nichole Dale, RBT
• Maria Elizabeth Dalia, WHNP-BC
• Tessa Dalton, BCABA
• Patricia Franchette Dameus
• Daniel & Max (Stanton Optical)
• Daniel J Velinsky, D.M.D.
• Daniel T Holley MD PA
• Jerome Edward Daniel, DO
• Melake Daniel

• Gastroenterology Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.