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DR. JACOB NEATHAWK JR. MD
NPI 1558340869
Internal Medicine - Cardiovascular Disease in Salem, VA

Active since January 13, 2006
1802 BRAEBURN DR, SALEM, VA 24153(540) 772-3430(540) 776-2051 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Jacob Neathawk Jr. Md NPPES

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

DR. JACOB NEATHAWK JR. MD (NPI 1558340869) is an individual cardiovascular disease provider in Salem, Virginia, licensed in Virginia (0101028129) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1558340869
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JACOB NEATHAWK JR.Credential: MD
Location Address1802 BRAEBURN DRSalem, VA 24153-7357
Mailing Address1802 Braeburn DrSalem, VA 24153-7357 · (540) 772-3430 · Fax (540) 776-2051
Phone(540) 772-3430
Fax(540) 776-2051
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateNovember 29, 2007
✔ NPI 1558340869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in VA · 0101028129
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1802 BRAEBURN DR, Salem, VA 24153
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Other Identifiers 3

Medicare PIN009214L84
OtherP00277033VA · Medicare Railroad
Medicare UPINB09047

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.

DR. ANDREW MAIOLO MD
Internal Medicine (Cardiovascular Disease)
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3430
GARY PAUL GROSS M.D.
Dermatology
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3421
MEGAN SMITH N.P.
Nurse Practitioner (Family)
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3580
DEBORAH EDWARDS DAVIS CPNP
Nurse Practitioner (Pediatrics)
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3580
MISS KIMBERLY CHARISE MARTIN NP-C
Nurse Practitioner
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3400
DR. RICHARD JOHNSON MD
Ophthalmology
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3480
DR. DOMINIQUE DEMPAH M.D.
Surgery
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 772-3620
MRS. OLIVIA JAYNE DARWIN PA-C
Physician Assistant
1802 BRAEBURN DR
SALEM, VA 24153
Salem City (540) 725-5006

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 Neathawk's NPI number?

The NPI number for Jacob Neathawk is 1558340869. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Jacob Neathawk located?

Jacob Neathawk practices at 1802 Braeburn Dr, Salem, VA 24153. The listed phone number is (540) 772-3430.

What is Jacob Neathawk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jacob Neathawk was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.