NPIMap

Organization Active NPI

Louis Jacobs, D.O., P.C.

  • Neurological Surgery Physician
  • Garden City, MI
National Provider Identifier
1245403492
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
LJ006797 Issued in MI
Legal business name
LOUIS JACOBS, D.O., P.C.
Practice address
6255 Inkster Rd
Suite 206
Garden City, MI 48135-2577
Phone
(734) 421-0044
Fax
(734) 458-3364
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Louis Israel Jacobs, D.O.NPI 1174522163
Title
Physician
Phone
(734) 421-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X LJ006797 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Suite 206
Garden City, MI 48135-2577

Mailing address

6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 421-0044

Other identifiers 2

IdentifierTypeStateIssuer
5821167OtherMIBCBSM
1367083MedicaidMI

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1245403492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 INKSTER RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481354001",
            "telephone_number": "734-421-0044",
            "fax_number": "734-458-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "SUITE 206",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-421-0044",
            "fax_number": "734-458-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS JACOBS, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ISRAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-421-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "LJ006797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5821167",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367083",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.