JACOB CHARLES SHALKEVICH MD
NPI 1184319329
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since April 05, 2023
1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-0945 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jacob Charles Shalkevich Md NPPES

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

JACOB CHARLES SHALKEVICH MD (NPI 1184319329) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1184319329
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB CHARLES SHALKEVICHCredential: MD
Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710
Mailing Address1919 E Thomas RdPhoenix, AZ 85016-7710 · (602) 933-0945
Sole ProprietorNo
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
NPI 1184319329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1919 E THOMAS RD, Phoenix, AZ 85016

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.

Hospitalist
1919 E THOMAS RD
PHOENIX, AZ 85016
Dietitian, Registered
1919 E THOMAS RD
PHOENIX, AZ 85016
Anesthesiology (Pediatric Anesthesiology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Social Worker (Clinical)
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics
1919 E THOMAS RD
PHOENIX, AZ 85016
Pediatrics (Pediatric Gastroenterology)
1919 E THOMAS RD
PHOENIX, AZ 85016
Nurse Practitioner (Pediatrics)
1919 E THOMAS RD
PHOENIX, AZ 85016

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 Jacob Shalkevich's NPI number?

The NPI number for Jacob Shalkevich is 1184319329. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Jacob Shalkevich located?

Jacob Shalkevich practices at 1919 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 933-0945.

What is Jacob Shalkevich's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Shalkevich was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.