SCOTT R JACOBSON


Address: 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283
Phone: 5413823344

SCOTT R JACOBSON (NPI# 1730184201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730184201
Entity Type Individual
Full Name SCOTT R JACOBSON
Credential MD
Practice Address 2200 Ne Neff Rd
Suite 200
Bend
OR 97701-4283
Practice Telephone 5413823344
Practice Fax Number 5413821681
Mailing Telephone 5413823344
Mailing Fax Number 5413821681
Enumeration Date 2005-06-20
Last Update Date 2012-02-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
MD19419 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR DBME MD19419 01
OR 074067 05

Other Providers SCOTT JACOBSON

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1700118908 Scott A. Jacobson Pharmacist 1778 Autumnwood Dr, Mechanicsburg, PA 17055-5197 2010-02-12
1366658965 Scott Neil Jacobson Family Medicine 10120 S Eastern Ave Ste 130, Henderson, NV 89052 2007-05-14
1285947465 Scott Micheal Jacobson Chiropractor 1099 Robert St S, W Saint Paul, MN 55118-1456 2010-07-16
1629012414 Scott M Jacobson Internal Medicine 532 W Pittsburgh St, Greensburg, PA 15601-2239 2006-06-15

Office Location

Street Address 2200 NE NEFF RD
SUITE 200
City BEND
State OR
Zip Code 97701-4283

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568465508 Jennifer Rost Physical Therapist 2200 Ne Neff Rd, Ste. 202, Bend, OR 97701-4283 2005-05-23
1588163356 American Medical Transit LLC Non-emergency Medical Transport (VAN) 2200 Ne Neff Rd, Bend, OR 97701-4283 2018-02-07
1215461686 Kevin Lenoir Physical Therapist 2200 Ne Neff Rd, Suite 202, Bend, OR 97701-4283 2017-04-12
1225574064 Sarah Clement Specialist/Technologist 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 2017-01-18
1740649458 Jaron Wilson Specialist/Technologist 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 2016-02-23
1902281868 Garrett Skelton Emergency Medical Technician, Basic 2200 Ne Neff Rd, #200, Bend, OR 97701-4283 2015-07-21
1285030023 Katrina Marie Cypcar Physician Assistant 2200 Ne Neff Rd, Suite 200, Bend, OR 97701-4283 2014-11-05
1376954727 Jeff Bernard Clausen Orthotist 2200 Ne Neff Rd, Ste 306, Bend, OR 97701-4283 2014-05-19
1821424573 Claire Eleanor Irvine Specialist/Technologist 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4283 2013-09-25
1144652744 Laura Schwendiman Taylor Physical Therapist 2200 Ne Neff Rd, Suite 202, Bend, OR 97701-4283 2013-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104465525 Andrew Kyle Burzynski Denturist 853 Ne 4th St., Bend, OR 97701 2020-01-02
1013480714 Andrew Traut Specialist/Technologist Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 2019-01-04
1871063917 Calley Asbill, Nd LLC Chiropractor 2146 Ne 4th Street, Suite 160, Bend, OR 97701 2018-12-02
1902372212 Carisa S Battin Counselor 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 2018-10-15
1366921223 Hillside Eye Center LLC Ophthalmology 625 Nw Colorado Avenue, Bend, OR 97701 2018-08-11
1528545514 Kellie Michiko Kawasaki-jones Dentist 62968 Ob Riley Road, Suite 12, Bend, OR 97701 2018-07-23
1992255327 Shelby Chiropractic Chiropractor 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 2016-10-10
1144671520 Kevin Richard Pett Acupuncturist 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 2016-06-27
1912357500 Sheldon Shawn Doveri Driver 233 Nw Revere Ave, Bend, OR 97701 2016-06-15
1740647411 Anne Power Homeopath 2100 Ne Neff Rd Suite B, Bend, OR 97701 2016-01-26
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346633294 Deschutes Orthopedics, LLC Orthopaedic Surgery 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 2015-03-16
1811263635 Micah B Naimark Orthopaedic Surgery 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 2012-03-26
1912923152 Blake A Nonweiler Orthopaedic Surgery 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 2006-07-14
1689630816 Cara E Walther Orthopaedic Surgery 1303 Ne Cushing Dr, Suite 100, Bend, OR 97701-3887 2006-04-25
1871566976 Michael G Ryan Orthopaedic Surgery 1303 Ne Cushing Dr, Bend, OR 97701-3730 2006-02-09
1124090634 Brett I Gingold Orthopaedic Surgery 1303 Ne Cushing Dr, Bend, OR 97701-3730 2006-02-07
1205813110 Rodney Phillip Wigle Orthopaedic Surgery 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 2005-12-30
1639179930 Timothy S Bollom Orthopaedic Surgery 2200 Ne Neff Rd, Ste 200, Bend, OR 97701-4283 2005-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184893984 Matthew T A Sugalski Md PC Orthopaedic Surgery 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 2008-02-26
1639176480 Stanley L James Orthopaedic Surgery 55 Coburg Rd, Eugene, OR 97401-2433 2005-07-07
1063822583 Justin D Hudson Orthopaedic Surgery 600 Country Club Rd, Eugene, OR 97401-2240 2014-05-06
1750643060 John C. Anderson, M.d., P.C. Orthopaedic Surgery 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 2012-06-12
1437393949 Jeffrey M Tuman Orthopaedic Surgery 55 Coburg Rd, Eugene, OR 97401-2433 2009-04-28
1225271133 Milwaukie Orthopedic Service Inc Orthopaedic Surgery 10202 Se 32nd Ave, Suite 101, Milwaukie, OR 97222-3610 2009-04-08
1316103450 Bret T Kean Md PC Orthopaedic Surgery 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 2008-07-29
1083885040 Karl R Knudsen Md PC Orthopaedic Surgery 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 2008-03-18
1033317367 Olugbenga Omotayo Sulaiman Orthopaedic Surgery 1200 Hilyard St, Suite 600, Eugene, OR 97401-8122 2007-07-09
1881818805 Paul D. Ruesch, Md PC Orthopaedic Surgery 6542 Se Lake Rd, Suite 201, Milwaukie, OR 97222-2244 2007-04-12
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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