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DR. GORDON W JACOBS M.D. NPI 1619000486


NPI Information

NPI: 1619000486
Provider Name: DR. GORDON W JACOBS, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
14920 WYNDHAM OAKS DR
CHARLOTTE, NC
ZIP 28277
Phone: (704) 543-8236
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DR. Gordon W Jacobs, M.D. is a surgery in Charlotte, NC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Gordon W Jacobs, M.D. NPI is 1619000486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14920 WYNDHAM OAKS DR
CHARLOTTE, NC
ZIP 28277-512
Phone: (704) 543-8236

The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery33382NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B73624MEDICARE UPIN
2213260MEDICARE ID-TYPE UNSPECIFIED
3130799MEDICAIDSOUTH CAROLINA
489-45688MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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