Stanley Jacobs, M.D. Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G65799 Issued in CA

Legal business name

STANLEY JACOBS, M.D. INC

Practice address

145 Foss Creek Cir
Healdsburg, CA 95448-4288

Phone

(707) 473-0220

Fax

(707) 473-0990

NPI assigned

Apr 2, 2013

Last updated

Apr 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley Jacobs, M,D,NPI 1932224490

Title

President

Phone

(707) 473-0220

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley Winstonj Jacobs, M.D.,F.R.C.S

  • Specialist
  • Healdsburg, CA
  • NPI 1932224490
  Authorized official Same address or phone

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1447593066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6671",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954060671",
            "telephone_number": "707-433-0220",
            "fax_number": "707-473-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FOSS CREEK CIR",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484288",
            "telephone_number": "707-473-0220",
            "fax_number": "707-473-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY JACOBS, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-473-0220",
        "authorized_official_credential": "M,D,"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G65799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence W. Shephard, P,T,
• Ronald D. Siegemund, M.D.
• Natasha Bettina Sill, CPNP
• Amber Snyder
• Soco Physical Therapy & Performance, P.C.
• Stanley Jacobs, M.D. Inc
• Todd Steele
• Stephen Pinsk, M.D., Inc. (Pathology Services)
• Laura Stever, RD
• Tracy Stewart, L.AC.

• Plastic Surgery Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.