Jacob B. Redekop MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4770 Issued in AZ

Legal business name

JACOB B. REDEKOP MD

Practice address

5201 N Camino Escuela
Tucson, AZ 85718-5016

Phone

(520) 299-2248

Fax

(520) 299-2248

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jacob B. Redekop, MD

Title

Medical Doctor

Phone

(520) 299-2248

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1528467693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 N CAMINO ESCUELA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185016",
            "telephone_number": "520-299-2248",
            "fax_number": "520-299-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N CAMINO ESCUELA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185016",
            "telephone_number": "520-299-2248",
            "fax_number": "520-299-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB B. REDEKOP MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "REDEKOP",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "520-299-2248",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "4770",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AZ",
            "license": "4770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Leigh Jackson, MPT
• Sinead Marie Jackson, M.ED.
• Steven Jackson
• Tanesha Jackson, RN
• Terrence Ramsey Jackson, PHARM.D., PH.D.
• Abraham Jacob, M.D.
• Jennie Jacob
• Kirsten Jacob, MAOM
• Marvin Jacob, PT, DPT
• Rose Mary Jacob I

• Orthopaedic Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.