CHARLES D JACOBSON MD
NPI 1124092754
Internal Medicine in Puyallup,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 13, 2006

Contact Information

1701 3rd St Se
Puyallup,
Post Code: 98372
Phone: (253) 967-5767
Fax: (253) 697-5682

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Charles D Jacobson Md in Puyallup - Internal Medicine

Charles D Jacobson Md is a Internal Medicine in Puyallup, . Charles D Jacobson Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charles D Jacobson Md is 1124092754. The last update date is 2011-11-08.

Charles D Jacobson Md's current location address is 1701 3rd St Se, Puyallup, . You can contact this provider via phone number (253) 967-5767 and fax number (253) 697-5682. The mailing address for Charles D Jacobson Md is 1701 3rd St Se, Puyallup, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124092754
Provider Name
CHARLES D JACOBSON MD
Gender
Male
Entity Type
Individual
Location Address
1701 3rd St Se, Puyallup,
Location Phone
(253) 967-5767
Location Fax
(253) 697-5682
Mailing Address
1701 3rd St Se, Puyallup, Washington(WA)
Mailing Phone
253-967-5767
Mailing Fax
253-697-5682
Enumeration Date
2006-02-13
Last Update Date
2011-11-08
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
MD00013535
License State
Washington (WA)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
111661110 Other (non-Medicare) (01) Washington (WA) MEDICARE OTHER-INDIVIDUAL
1414200 MEDICAID (05) Washington (WA)
193400000X Other (non-Medicare) (01) Washington (WA) Taxonomy
CO3401 Other (non-Medicare) (01) Washington (WA) MEDICARE OTHER-GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124092754
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144094710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2144094710
2 + 1 + 4 + 4 + 0 + 9 + 4 + 7 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4 4

The NPI number 1124092754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063415198 PROVIDENCE HEALTH & SERVICES WASHINGTON
PROVIDENCE SOUNDHOMECARE AND HOSPICE
Organization
Home Health 4200 6TH AVE SE
LACEY, Washington (WA)
360-459-8311
1033112107 HUNTER A MCKAY
Individual
Specialist 1145 BROADWAY
SEATTLE, Washington (WA)
206-329-1760
1033112883 COST PLUS PRESCRIPTIONS, INC.
Organization
Pharmacy 204 N I ST
TACOMA, Washington (WA)
253-572-9018
1093718843 KATHERINE FUNK
Individual
Family Medicine 306 HOLTON AVE
YAKIMA, Washington (WA)
509-453-1606
1124021886 GAOMAN GU
Individual
Dentist, General Practice 1122 N 27TH PL
RENTON, Washington (WA)