Dalal Farid Jacob, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

R-3150 Issued in AR

Practice address

1224 Cherokee Dr
Newport, AR 72112-9998

Phone

(870) 523-5360

NPI assigned

Jul 16, 2012

Last updated

Jul 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1427303437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 CHEROKEE DR",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721129998",
            "telephone_number": "870-523-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 CHEROKEE DR",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721129998",
            "telephone_number": "870-523-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "DALAL",
        "middle_name": "FARID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AR",
            "license": "R-3150",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": "R-3150",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "AR",
            "license": "R-3150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL LICENSE",
            "identifier": "R-3150",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddie Jackson
• Faith Jackson
• Jabez Fenton Jackson Jr., M.D.
• Matthew Patrick Jackson, MD
• Patricia Jackson, RECOVERY ASSISTANT
• Kimberly Jarrett, CMP
• Jimmie N Darling P a Inc (Darling Pharmacy)
• Jimmie N Darling P a Inc (Darling Pharmacy)
• Emily Johnson, MHPP
• Larene Katie Jones-Vasarhely

• Anatomic Pathology & Clinical Pathology Physician in Newport, AR
• Providers in Newport, AR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.