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EDWARD JACOBS MD
NPI 1104891324
Pediatrics in Lake Stevens, WA

Active since February 21, 2006
8910 VERNON RD, LAKE STEVENS, WA 98258(425) 335-0966 Get Directions Write a Review

NPPES record last updated: December 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Jacobs Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD JACOBS MD (NPI 1104891324) is an individual pediatrics provider in Lake Stevens, Washington, licensed in Washington (MD00029257) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1104891324
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEDWARD JACOBSCredential: MD
Location Address8910 VERNON RDLake Stevens, WA 98258-2400
Mailing AddressPo Box 5127Everett, WA 98206-5127
Phone(425) 335-0966
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateDecember 11, 2012
✔ NPI 1104891324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD00029257
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8910 VERNON RD, Lake Stevens, WA 98258
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Other Identifiers 3

Medicare UPINF04823
Medicare PIN8896280
Medicaid1002537WA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANUPAMA VARMA VIJAY MD
Pediatrics
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 397-1700
SEAN LINN
Pharmacist
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 259-1180
IRENE M HO PA-C
Physician Assistant
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 397-1700
MRS. KATERINA STURSOVA-WOLFF M.D.
Pediatrics
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 397-1702
DOUGAL CHISHOLM MD
Family Medicine
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 357-3305
MARYLOU HATCHER MD
Family Medicine
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 335-0966
DANIELLE SKILES M.A., L.M.H.C.A.
Counselor (Mental Health)
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 339-5453
JAMILA NIA MAINOR M.D.
Family Medicine
8910 VERNON RD
LAKE STEVENS, WA 98258
Snohomish County (425) 397-1704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Jacobs's NPI number?

The NPI number for Edward Jacobs is 1104891324. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Edward Jacobs located?

Edward Jacobs practices at 8910 Vernon Rd, Lake Stevens, WA 98258. The listed phone number is (425) 335-0966.

What is Edward Jacobs's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Edward Jacobs was last updated on December 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.