William M. Jacobsen MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

21620 Issued in AZ

Legal business name

WILLIAM M. JACOBSEN MD PC

Practice address

2400 E Az Biltmore Cir
Ste 2450
Phoenix, AZ 85016-2107

Phone

(602) 212-0100

Fax

(602) 279-1701

NPI assigned

Sep 21, 2007

Last updated

May 15, 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. William M Jacobsen, MDNPI 1639176894

Title

Owner

Phone

(602) 212-0100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• William M Jacobsen, MD

  • Plastic Surgery Physician
  • Phoenix, AZ
  • NPI 1639176894
  Medicare reassignment Authorized official
• Denise E Ehrler, RNFA

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1316965973
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1215123336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 E AZ BILTMORE CIR",
            "address_2": "STE 2450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162107",
            "telephone_number": "602-212-0100",
            "fax_number": "602-279-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E AZ BILTMORE CIR",
            "address_2": "STE 2450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162107",
            "telephone_number": "602-212-0100",
            "fax_number": "602-279-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. JACOBSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-212-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "21620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Kidd MD PC
• William J Rice MD
• William K Tadano DDS PC
• William L Weiss, MD, PC
• William M McLeish, MD, LLC
• William T. Holland MD PC
• Heather William
• King Iyobosa William
• Williams Family Medicine LLC (Williams Family Medicine)
• Williams Family Medicine LLC

• Plastic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.