JASON S. JACOB MD – NPI #1417033051
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JASON JACOB is a radiologist located in TACOMA, WA. NPPES has assigned the NPI number 1417033051 to JASON JACOB on October 27, 2006. 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 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Aug 30, 2024. 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 JASON JACOB below.

NPI Profile for
JASON S. JACOB

NPI Number
1417033051
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JASON S. JACOB
Credentials
MD
Primary location
1304 FAWCETT AVE STE 100
TACOMA, WA 98402
Phone: (253) 761-4200 Fax: (253) 761-4201
Mailing address
PO BOX 1535
TACOMA, WA 98401-1535
Phone: (253) 761-4200 Fax: (253) 383-3553
Sole Proprietor
No
Updated
Certification Date
Aug 30, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JASON 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.

DescriptionIssuerStateIdentifier
otherLABOR & INDUSTRY-TRAWA0345133
otherLABOR & INDUSTRY-TRA KING COUNTYWA0230052
otherLABOR & INDUSTRY-UNION AVEWA0230054
medicaidWA1054847
Taxonomy Code(s)

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WA MD00047516
2085N0904X
- Radiology / Nuclear Radiology		 WA MD00047516

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

Education
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JASON JACOB is affiliated with the following medical group(s):
  • HOSPITAL
    • MULTICARE COVINGTON MEDICAL CENTER
      17700 SE 272ND ST
      COVINGTON, WA 98042
    • MULTICARE GOOD SAMARITAN HOSPITAL
      401 15TH AVENUE SE
      PUYALLUP, WA 98372
    • ST ANTHONY HOSPITAL
      11567 CANTERWOOD BOULEVARD NW
      GIG HARBOR, WA 98332
    • ST JOSEPH MEDICAL CENTER
      1717 SOUTH J STREET
      TACOMA, WA 98405
    • TACOMA GENERAL ALLENMORE HOSPITAL
      315 S MLK JR WAY
      TACOMA, WA 98405

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