Earl Jacobson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

43 Issued in NV

Practice address

3650 S Eastern Ave
# 200
Las Vegas, NV 89169-3345

Phone

(702) 384-2544

Fax

(702) 384-8528

NPI assigned

Jun 28, 2006

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Earl Jacobson Professional name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hendershot Foot & Ankle Clinic, LLC

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1306604434
  Medicare reassignment NPD
• Dr Earl Jacobson LTD Foot Care Clinic

  • Podiatric Clinic/Center
  • Las Vegas, NV
  • NPI 1366674194
  Authorized official Same address or phone

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1487682662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE",
            "address_2": "# 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693345",
            "telephone_number": "702-384-2544",
            "fax_number": "702-384-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 S EASTERN AVE",
            "address_2": "# 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693345",
            "telephone_number": "702-384-2544",
            "fax_number": "702-384-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "EARL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "756480688",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002102804",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EARL",
            "last_name": "JACOBSON",
            "prefix": "DR.",
            "credential": "LTD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jason Jacobsen
• Leizel Trinidad Jacobsen, RRT
• Alexis Marie Jacobson
• Ashley Jacobson, CPC-I
• Cristina Jacobson
• Jamie Ann Jacobson
• Kameron Jacobson, PT
• Kim Lynnette Jacobson
• Rebecca J Jacobson
• Rickie Jacome

• Foot & Ankle Surgery Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foot & Ankle Surgery Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.