JACOB ROBERTS STOVER MD
NPI 1114504008
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Q: What is Jacob Stover's NPI number?

The NPI number for Jacob Stover is 1114504008. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Q: What is Jacob Stover's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Stover was last updated on January 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2021PECOS Enrolled

2021 PERDIDO ST FL 8, NEW ORLEANS, LA 70112(504) 568-4750 Get Directions Write a Review

NPPES record last updated: January 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jacob Roberts Stover Md NPPES

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

JACOB ROBERTS STOVER MD (NPI 1114504008) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114504008

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB ROBERTS STOVERCredential: MD

Location Address2021 PERDIDO ST FL 8New Orleans, LA 70112-1352

Mailing Address8000 Stonelake Village Ave Apt 1802Baton Rouge, LA 70820-8771 · (703) 853-5809

Phone(504) 568-4750

Sole ProprietorNo

Enumeration DateMarch 26, 2021

Last NPPES UpdateJanuary 20, 2024

NPPES CertifiedJanuary 20, 2024

✔ NPI 1114504008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2021 PERDIDO ST FL 8, New Orleans, LA 70112

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Roberts Stover Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.