Organization Active NPI

Scott M Jacobson DO PC

  • Internal Medicine Physician
  • Greensburg, PA
National Provider Identifier
1356663561
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SCOTT M JACOBSON DO PC
Practice address
532 W Pittsburgh St
Greensburg, PA 15601-2239
Phone
(724) 832-4000
Fax
(724) 836-6825
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Scott M Jacobson, D.O.
Title
President
Phone
(724) 850-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

532 W Pittsburgh St
Greensburg, PA 15601-2239

Mailing address

501 W Otterman St
Suite B
Greensburg, PA 15601-2126
Phone (724) 850-6946

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.

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1356663561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OTTERMAN ST",
            "address_2": "SUITE B",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012126",
            "telephone_number": "724-850-6946",
            "fax_number": "724-836-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 W PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012239",
            "telephone_number": "724-832-4000",
            "fax_number": "724-836-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M JACOBSON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-850-6945",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.