Tobin Eugene Jacks, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26026 Issued in IA

Practice address

403 E Montgomery St
South Apt
Knoxville, IA 50138-2026

Phone

(641) 828-2126

NPI assigned

Jul 6, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine

  NPD (past)
• Mercy Medical Center-Centerville

  • Family Medicine Physician
  • Centerville, IA
  • NPI 1346290624
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538367990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 E MONTGOMERY ST",
            "address_2": "SOUTH APT",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382026",
            "telephone_number": "641-828-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E MONTGOMERY ST",
            "address_2": "SOUTH APT",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501382026",
            "telephone_number": "641-828-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKS",
        "first_name": "TOBIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "26026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc (Hy-Vee Pharmacy (1353))
• Danise Ranae Hyatt
• Allison Iddings
• Indiana Township Fire Department
• Infinity Health (Community Health Centers of Southern Iowa, Inc)
• Samaroo Jaipaul, MD
• Usha Jaipaul, M.D.
• Bhama Jayaveerapandian, MD
• Eric Michael Jones, DDS
• Lisa K Jones, N.P.

• Family Medicine Physician in Knoxville, IA
• Providers in Knoxville, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.