Scott Jay Jacober, D.O.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

02002393B Issued in IN

Practice address

Eli Lilly and Company
546 S. Meridian Drop Code 6024
Indianapolis, IN 46285-0001

Phone

(317) 433-4281

NPI assigned

Sep 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1447409198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELI LILLY AND COMPANY",
            "address_2": "546 S. MERIDIAN DROP CODE 6024",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462850001",
            "telephone_number": "317-433-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELI LILLY AND COMPANY",
            "address_2": "546 S. MERIDIAN DROP CODE 6024",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462850001",
            "telephone_number": "317-433-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBER",
        "first_name": "SCOTT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IN",
            "license": "02002393B",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "5101007754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody J Jacob, MD
• James Allen Jacob, M.D.
• Michael D Jacob, CRNA
• Seethal A Jacob, M.D.
• William Paul Jacob
• Abigail Jacobs, RBT
• Alaina Jacobs, RBT
• Anna Kathryn Jacobs, DO
• Annalise Sara Jacobs, MD
• Brian Scott Jacobs, M.D.

• Endocrinology, Diabetes & Metabolism Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Endocrinology, Diabetes & Metabolism Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.