NPIMap

Organization Active NPI

William C. Jacobson MD PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Des Moines, IA
National Provider Identifier
1922219047
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
33389 Issued in IA
Legal business name
WILLIAM C. JACOBSON MD PC
Doing business as
William C. Jacobson MD PC
Practice address
1601 NW 114TH St
Suite 142
Des Moines, IA 50325-7007
Phone
(515) 440-2676
Fax
(515) 440-2676
NPI assigned
May 24, 2007
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. William C Jacobson, MDNPI 1790749448
Title
President
Phone
(515) 440-2676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 33389 IA Primary

Addresses

Primary practice location

1601 NW 114TH St
Suite 142
Des Moines, IA 50325-7007

Mailing address

1601 NW 114TH St
Suite 142
Des Moines, IA 50325-7007
Phone (515) 440-2676

Other identifiers 1

IdentifierTypeStateIssuer
CR0838OtherIARAILROAD MEDICARE

Other names 1

  • William C. Jacobson MD PC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1922219047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "SUITE 142",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "SUITE 142",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-440-2676",
            "fax_number": "515-440-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C. JACOBSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-440-2676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IA",
            "license": "33389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CR0838",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William C. Jacobson MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.