Dr. Allen M. Jacobs & Associates LTD., PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

000436 Issued in MO

Legal business name

DR. ALLEN M. JACOBS & ASSOCIATES LTD., PC

Practice address

6400 Clayton Rd
Ste 402
Saint Louis, MO 63117-1850

Phone

(314) 367-6545

Fax

(314) 367-7038

NPI assigned

May 8, 2007

Last updated

Jan 17, 2013By 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

Dr. Allen M Jacobs, DPMNPI 1023115177

Title

Owner

Phone

(314) 367-6545

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.

• Allen M Jacobs, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1023115177
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1205049079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD",
            "address_2": "STE 402",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171850",
            "telephone_number": "314-367-6545",
            "fax_number": "314-367-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD",
            "address_2": "STE 402",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171850",
            "telephone_number": "314-367-6545",
            "fax_number": "314-367-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ALLEN M. JACOBS & ASSOCIATES LTD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-367-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MO",
            "license": "000436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Foot & Ankle Surgery Podiatrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.