Edward Cornelious Jacobs, M.D.

Urology Physician · Kettering, OH

Individual Active NPI

NPI number 1255330676

Practice location

10 Southmoor Cir NW
Kettering, OH 45429-2486
Phone
(937) 294-1489
Fax
(937) 297-6468

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NPI record

NPI
1255330676
Entity type
Individual (Type 1)
Enumeration date
July 18, 2005
Last updated
March 5, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urology Physician Primary 208800000X 35073367 OH
Specialist 174400000X G16625 CA
Specialist 174400000X 014971 ME
Specialist 174400000X 32702 MA
Specialist 174400000X 35-07-3367-J OH

Mailing address

1 Prestige Pl
Suite 550
Miamisburg, OH 45342-3794
Phone
(937) 752-2305

About Dr. Jacobs

Edward Cornelious Jacobs, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Urology Physician (code 208800000X). The practice location is 10 Southmoor Cir NW, Kettering, OH 45429-2486. The NPI number 1255330676 was assigned on July 18, 2005 and the record was last updated on March 5, 2015.

Dr. Jacobs lists 5 licenses in the registry: #35073367 (OH) for Urology Physician; #G16625 (CA) for Specialist; #014971 (ME) for Specialist; #32702 (MA) for Specialist; #35-07-3367-J (OH) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward Cornelious Jacobs, M.D.?

The NPI number is 1255330676.

What is the phone number of Dr. Jacobs?

The phone number listed for the practice location is (937) 294-1489.

Where is Dr. Jacobs located?

10 Southmoor Cir NW, Kettering, OH 45429-2486.

What is the taxonomy code for Dr. Jacobs?

The primary taxonomy code is 208800000X – Urology Physician; 4 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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