Individual provider Active NPI

Jacob Marganski, M.D.

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1245679158
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD60727543 Issued in WA
Practice address
4901 Forest Park Ave
Barnes-Jewish Hospital Graduate of Medical Education
Saint Louis, MO 63108-1402
Phone
(314) 747-3000
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2013020131 MO
Emergency Medicine Physician 207P00000X MD60727543 WA Primary

Addresses

Primary practice location

4901 Forest Park Ave
Barnes-Jewish Hospital Graduate of Medical Education
Saint Louis, MO 63108-1402

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011002521 WA Practitioner - Emergency Medicine 1759510902 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Emergency Group a Professional LLCGroup PAC ID 0941424451, 17 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1707

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013020131MOMDEmergency Medicine Physician
MD60727543WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Olympia Emergency Care Physicians PLLC Emergency Medicine CurrentSince Jul 13, 2022 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Sep 17, 2017 Accepting new patients
Multicare Health System CurrentSince Aug 2, 2017 Accepting new patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Nov 2, 2019 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Nov 2, 2019 Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine Current Accepting new patients
Tacoma Emergency Care Physicians, PLLC Emergency Medicine CurrentSince Sep 17, 2017 Accepting new patients
Multicare Health System CurrentSince Aug 2, 2017 Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

14815 Pacific Ave S
Tacoma, WA 98444
Phone (253) 697-8660

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1245679158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 FOREST PARK AVE",
            "address_2": "BARNES-JEWISH HOSPITAL GRADUATE OF MEDICAL EDUCATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081402",
            "telephone_number": "314-747-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGANSKI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2013020131",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60727543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.