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TIMOTHY JACKS D.O.
NPI 1164686549
Pediatrics in Mesa, AZ

Active since July 15, 2008
4540 E BASELINE RD, SUITE 108, MESA, AZ 85206(480) 892-3880(480) 545-4551 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Jacks D.o. NPPES

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

TIMOTHY JACKS D.O. (NPI 1164686549) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (R70095) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1164686549
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTIMOTHY JACKSCredential: D.O.
Location Address4540 E BASELINE RD, SUITE 108Mesa, AZ 85206-4613
Mailing Address4540 E Baseline Rd, Suite 108Mesa, AZ 85206-4613 · (480) 892-3880 · Fax (480) 545-4551
Phone(480) 892-3880
Fax(480) 545-4551
Sole ProprietorNo
Enumeration DateJuly 15, 2008
Last NPPES UpdateMay 17, 2013
✔ NPI 1164686549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · R70095
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.
4540 E BASELINE RD, Mesa, AZ 85206
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Other Identifiers 1

OtherR70095AZ · Training Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Other Providers at the Same Location NPPES 20

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

THE WELLNESS WAY, INC.
Chiropractor
4540 E BASELINE RD, SUITE 112
MESA, AZ 85206
Maricopa County (480) 272-8944
JO M KNATZ MD PC
Obstetrics & Gynecology (Gynecology)
4540 E BASELINE RD, UNIT 115
MESA, AZ 85206
Maricopa County (480) 985-1093
JEFFERY DEWARD SMITH PA
Physician Assistant (Medical)
4540 E BASELINE RD, SUITE#114
MESA, AZ 85206
Maricopa County (480) 633-0294
DALE W GUTHRIE M.D.
Pediatrics
4540 E BASELINE RD, SUITE 108
MESA, AZ 85206
Maricopa County (480) 892-3880
RANDY H LEAVITT M.D.
Pediatrics
4540 E BASELINE RD, SUITE 108
MESA, AZ 85206
Maricopa County (480) 892-3880
HOMEWOOD FAMILY MEDICINE PLLC
Family Medicine
4540 E BASELINE RD, #113
MESA, AZ 85206
Maricopa County (480) 558-4700
DR. JO MERRIWETHER KNATZ MD
Obstetrics & Gynecology (Gynecology)
4540 E BASELINE RD, STE 115
MESA, AZ 85206
Maricopa County (480) 610-5300
WIZE HEALTHCARE LLC
Pain Medicine (Interventional Pain Medicine)
4540 E BASELINE RD, 105
MESA, AZ 85206
Maricopa County (602) 421-2730

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 Timothy Jacks's NPI number?

The NPI number for Timothy Jacks is 1164686549. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Where is Timothy Jacks located?

Timothy Jacks practices at 4540 E Baseline Rd Suite 108, Mesa, AZ 85206. The listed phone number is (480) 892-3880.

What is Timothy Jacks's specialty?

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

What insurance does Timothy Jacks accept?

Health plans from Ambetter from Arizona Complete Health list Timothy Jacks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Jacks was last updated on May 17, 2013. 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.