Todd Lonny Jacobs, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9358537-1204 Issued in UT

Practice address

One Perkins Square
Christine Mayes - Pediatric Residency Coordinator
Akron, OH 44308-1063

Phone

(330) 543-8178

NPI assigned

May 29, 2012

Last updated

Jan 6, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Idaho Falls Community Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1114481447
  NPD (past)
• Medical Center for Children & Adolescents, PA

  dba The Pediatric Center

  • Pediatrics Physician
  • Idaho Falls, ID
  • NPI 1073528998
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1255691911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-680-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE PERKINS SQUARE",
            "address_2": "CHRISTINE MAYES - PEDIATRIC RESIDENCY COORDINATOR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "TODD",
        "middle_name": "LONNY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "9358537-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Jacobs
• Curtis Jacobs
• Heather Jacobs, CDCA
• Maria Eva Jacobs, BACHELOR'S
• Tiffany Jacobs
• Mark D Jacobstein, M.D.
• Jacquelines Care (Brandy underwood)
• Jacquelines Care (jacquelines care LLC)
• Joshua Michael Jacquet, M.D.
• Ruba Fayeq Jadallah, RPH

• Pediatrics Physician in Akron, OH
• Providers in Akron, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.