Individual provider Active NPI

George Franklin Jacobson, DPM

  • Podiatrist
  • Hollywood, FL
National Provider Identifier
1821082017
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1504 Issued in FL
Practice address
3816 Hollywood Blvd
Suite 206
Hollywood, FL 33021-6750
Phone
(954) 987-0550
Fax
(954) 987-0553
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO1504 FL Primary

Addresses

Primary practice location

3816 Hollywood Blvd
Suite 206
Hollywood, FL 33021-6750

Mailing address

3816 Hollywood Blvd
Suite 206
Hollywood, FL 33021-6750
Phone (954) 987-0550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1504FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luis a. Robaina MD PA PastSince Nov 17, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1821082017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD",
            "address_2": "SUITE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-987-0550",
            "fax_number": "954-987-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD",
            "address_2": "SUITE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-987-0550",
            "fax_number": "954-987-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "GEORGE",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.