CHARLES D JACOBSON MD
NPI 1124092754
Internal Medicine in Puyallup, WA

Q: What is Charles Jacobson's NPI number?

The NPI number for Charles Jacobson is 1124092754. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Charles Jacobson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Jacobson was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 13, 2006

1701 3RD ST SE, PUYALLUP, WA 98372(253) 967-5767(253) 697-5682 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles D Jacobson Md NPPES

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

CHARLES D JACOBSON MD (NPI 1124092754) is an individual internal medicine provider in Puyallup, Washington, licensed in Washington (MD00013535) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1124092754

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCHARLES D JACOBSONCredential: MD

Location Address1701 3RD ST SEPuyallup, WA 98372-4511

Mailing Address1701 3rd St SePuyallup, WA 98372-4511 · (253) 967-5767 · Fax (253) 697-5682

Phone(253) 967-5767

Fax(253) 697-5682

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateNovember 8, 2011

✔ NPI 1124092754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD00013535

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1701 3RD ST SE, Puyallup, WA 98372

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Other Identifiers 6

Other193400000XWA · Taxonomy

OtherCO3401WA · Medicare Other-group

Other111661110WA · Medicare Other-individual

Medicare PING001000540WA

Medicaid1414200WA

Medicare UPINA08460WA

Other Providers at the Same Location NPPES 11

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

STEPHEN R KERR M.D.

Surgery

1701 3RD ST SE, SUITE 300
PUYALLUP, WA 98372

Pierce County (253) 697-5767

LAURIE J MORRIS MD

Obstetrics & Gynecology

1701 3RD ST SE, SUITE 200
PUYALLUP, WA 98372

Pierce County (253) 840-4444

MOHAMMED HOSAM ALDIN BACCORA MD

Internal Medicine (Nephrology)

1701 3RD ST SE, STE 300
PUYALLUP, WA 98372

Pierce County (253) 697-4740

JESSICA SANTIAGO KHAN MD

Internal Medicine

1701 3RD ST SE
PUYALLUP, WA 98372

Pierce County (253) 697-5767

NICHOL T IVERSON MD

Internal Medicine

1701 3RD ST SE, SUITE 300
PUYALLUP, WA 98372

Pierce County (253) 697-5767

CHARLES NAM MD

Internal Medicine

1701 3RD ST SE, 300
PUYALLUP, WA 98372

Pierce County (253) 697-5767

JEBIN MATHEW CHACKO MD

Psychiatry & Neurology (Neurology)

1701 3RD ST SE
PUYALLUP, WA 98372

Pierce County (253) 697-4747

KENNETH MURRAY EDSTROM MD

Obstetrics & Gynecology

1701 3RD ST SE, SUITE 200
PUYALLUP, WA 98372

Pierce County (253) 840-4444

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 Charles Jacobson's NPI number?

The NPI number for Charles Jacobson is 1124092754. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Charles Jacobson located?

Charles Jacobson practices at 1701 3rd St SE, Puyallup, WA 98372. The listed phone number is (253) 967-5767.

What is Charles Jacobson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Charles Jacobson was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.