Active NPI
Robert R. Jacobs, D.O.
- Emergency Medicine Physician
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- E-2641
- Practice address
- 700 W Grove St
El Dorado, AR 71730-4416 - Phone
- (870) 863-2200
- Fax
- (870) 864-0202
- NPI assigned
- Dec 15, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-2641 | AR | Primary |
Addresses
Primary practice location
700 W Grove St
El Dorado, AR 71730-4416
Mailing address
778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 367-2411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5L634 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 367-2411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monticello Ess LLC | Emergency Medicine | Current | Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Emergency Medicine | Current | Accepting new patients |
| Nes Arkansas, Inc. | Emergency Medicine | Past | Accepting new patients |
| McGehee Desha County Hospital | Past | Accepting new patients |
Locations
1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590
778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Monticello, AR
- NPI 1184010753
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1184615551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center - Drew County
- General Acute Care Hospital
- Monticello, AR
- NPI 1962283192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558347286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 SCOGIN DR",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716555729",
"telephone_number": "870-367-2411",
"fax_number": "870-460-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W GROVE ST",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304416",
"telephone_number": "870-863-2200",
"fax_number": "870-864-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "ROBERT",
"middle_name": "R.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AR",
"license": "E-2641",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5L634",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.