Active NPI
Neal R Jacobson, DO
- Emergency Medicine Physician
- Baker City, OR
National Provider Identifier
1598858979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO17381
- Practice address
- 3325 Pocahontas Road
Baker City, OR 97814 - Phone
- (541) 523-8111
- Fax
- (541) 523-1738
- NPI assigned
- Sep 30, 2006
- Last updated
- Nov 14, 2013
- 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 | DO17381 | OR | Primary |
Addresses
Primary practice location
3325 Pocahontas Road
Baker City, OR 97814
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (541) 523-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1598858979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "541-523-8111",
"fax_number": "541-523-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 POCAHONTAS ROAD",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "97814",
"telephone_number": "541-523-8111",
"fax_number": "541-523-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "NEAL",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO17381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.