Darren R Jacobs, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS9650 Issued in FL

Practice address

9131 College Pointe CT
Ft Myers, FL 33919-3245

Phone

(239) 432-0101

Fax

(239) 437-0570

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1194790642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-424-1400",
            "fax_number": "239-424-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 COLLEGE POINTE CT",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339193245",
            "telephone_number": "239-432-0101",
            "fax_number": "239-437-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DARREN",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274027300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William T Jackson
• Kenneth Michael Jacob, MD
• Sha'Nariyah Jacob, RBT
• Allen T Jacobs, MD
• Bruce Paul Jacobs, RPH
• Randall S Jacobs, MD
• Robert G Jacoby, M.D.
• Mario Jacome Jr., DO
• Tomas Jacome, MD
• Jahan Jadauji, M.D.

• Family Medicine Physician in Ft Myers, FL
• Providers in Ft Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.