Jon S Jacobson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

14654 Issued in AZ

Practice address

7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443

Phone

(480) 994-5012

NPI assigned

Aug 18, 2006

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Associated Ophthalmologists LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1487704581
  Medicare reassignment NPD
• Jon S Jacobson MD

  • Ophthalmology Physician
  • Peoria, AZ
  • NPI 1134233273
  NPD (past) Authorized official
• Richard M. Kootman M.D.,P.C.

  • Specialist
  • Peoria, AZ
  • NPI 1467634477

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1558475681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-994-5012",
            "fax_number": "602-216-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 E OSBORN RD STE 4",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516443",
            "telephone_number": "480-994-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "JON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "14654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Jacob, M.D
• Barbara Jacoboski, CSCD CCC SLP
• Irene Leivas Jacobs, MC, LPC, CSAT
• Valerie L Jacobs, MD, PHD
• Luke J Jacobsen, D.D.S.
• Karen Rose Jacobson, D.C.
• Richard Paul Jacoby, DPM
• Jenna Jacques, FNP-BC
• Paulina Jacquez
• Ashutosh P. Jadhav, MD, PHD

• Ophthalmology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.