JACK JACOB M.D. – NPI #1255482063
Obstetrics & Gynecology
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
JACK JACOB is a physician located in NEW ORLEANS, LA. NPPES has assigned the NPI number 1255482063 to JACK JACOB on January 16, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology
The NPI profile was previously updated about 7 years ago on Mar 06, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK JACOB below.
NPI Profile for
JACK JACOB
(more than 19 years ago)
SUITE 206
NEW ORLEANS, LA 70115 Phone: (504) 897-8281 Fax: (504) 897-5604
SUITE 35
NEW ORLEANS, LA 70115-3628 Phone: (504) 897-7197 Fax:
Identifiers for JACK JACOB
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | 1133191 | |
| MEDICAID | LA | 1943479 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VG0400X - Obstetrics & Gynecology / Gynecology (Primary) |
LA | 011071 |
| 207V00000X - Obstetrics & Gynecology |
LA | 011071 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JACK JACOB is affiliated with the following medical group(s):
- HOSPITAL
- TOURO INFIRMARY1401 FOUCHER STREET
NEW ORLEANS, LA 70115 - WEST JEFFERSON MEDICAL CENTER1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
- TOURO INFIRMARY1401 FOUCHER STREET
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See the complete CMS Data Dissemination Notice here.