Stephen J Jacobs, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25576 Issued in CO

Practice address

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Phone

(719) 776-5000

Fax

(719) 448-0767

NPI assigned

Aug 26, 2005

Last updated

Mar 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Pikes Peak Anesthesia Associates P.C.

  • Anesthesiology Physician
  • Colorado Springs, CO
  • NPI 1710091186
  NPD (past)
• Therapeutic Pain Services

  • Pain Medicine (Anesthesiology) Physician
  • Colorado Springs, CO
  • NPI 1982737680
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1679566467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809010820",
            "telephone_number": "719-448-0981",
            "fax_number": "719-448-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "719-776-5000",
            "fax_number": "719-448-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "25576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "050048982",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01255769",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jacobs
• Klaudya Jacobs, MS, BCABA
• Marlicia Jacobs
• Mason Jacobs
• Raquel Jacobs
• Alesia Marie Jacobsen, RDH
• Holly Jacobsen
• Sara Denise Jacobsen, RN
• Susan Marie Jacobsen, ATR-BC, LPC
• Alicia Vashti Jacobson, RBT

• Anesthesiology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Anesthesiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.