WILLIAM C. JACOBSON MD PC (NPI# 1922219047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922219047 |
| Entity Type | Organization |
| Organization Name | WILLIAM C. JACOBSON MD PC |
| Other Organization Name | WILLIAM C. JACOBSON MD PC |
| Practice Address |
1601 Nw 114th St Suite 142 Des Moines IA 50325-7007 |
| Practice Telephone | 5154402676 |
| Practice Fax Number | 5154402676 |
| Mailing Telephone | 5154402676 |
| Mailing Fax Number | 5154402676 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2009-05-06 |
| Authorized Official Name | DR. WILLIAM C JACOBSON (PRESIDENT) |
| Authorized Official Telephone | 5154402676 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
33389 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | CR0838 | 01 |
| Other Name | Type Code |
|---|---|
| William C. Jacobson MD PC | Doing Business As Name - Organization |
| Street Address |
1601 NW 114TH ST SUITE 142 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50325-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508255134 | John L. Groeneveld | Nurse Practitioner | 1601 Nw 114th St, Ste 347, Des Moines, IA 50325-7046 | 2015-01-20 |
| 1467686139 | Capital Orthopaedics and Sports Medicine LLP | Podiatrist | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2009-05-11 |
| 1407093008 | Capital Orthopaedics and Sports Medicine LLP | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2009-01-19 |
| 1023269586 | Sharon D Shipley | Audiologist | 1601 Nw 114th St, Suite 230, Des Moines, IA 50325-7007 | 2008-10-02 |
| 1821288150 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 1601 Nw 114th St, Ste 136, Des Moines, IA 50325-7007 | 2007-08-01 |
| 1548461189 | Central Iowa Orthopaedics Group LLP | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-05-30 |
| 1649481680 | Michael S Lee Dpm PC | Podiatrist | 1601 Nw 114th St, Ste 142, Des Moines, IA 50325-7036 | 2007-05-24 |
| 1942429824 | Scott B Neff Dopc | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7036 | 2007-04-25 |
| 1265577019 | Orthopaedic and Sports Surgery Center PC | Orthopaedic Surgery | 1601 Nw 114th St, Suite 142, Des Moines, IA 50325-7007 | 2007-02-20 |
| 1427105105 | Daniel John Barth | Internal Medicine | 1601 Nw 114th St, Suite 347, Des Moines, IA 50325-7007 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749448 | William C Jacobson | Orthopaedic Surgery | 12499 University Ave, Suite 210, Des Moines, IA 50325-8281 | 2006-04-12 |
| 1245745074 | Grand View University | Orthopaedic Surgery | 1200 Grandview Ave, Des Moines, IA 50316-1529 | 2017-12-01 |
| 1326378720 | Iowa Orthopaedic Center, P.C. | Orthopaedic Surgery | 450 Laurel St, Ste A, Des Moines, IA 50314-3045 | 2010-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356392062 | James D Wolff Md PC | Orthopaedic Surgery | 2700 1st Ave S, Suite 100, Fort Dodge, IA 50501-4306 | 2006-05-15 |
| 1376908897 | The Finley Hospital | Orthopaedic Surgery | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2015-12-29 |
| 1386048650 | Bastian Uribe-echevarria Marbach | Orthopaedic Surgery | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2014-10-15 |
| 1033485404 | Ruslan Safarov | Orthopaedic Surgery | 2730 Pierce St Ste 300, Sioux City, IA 51104 | 2012-03-29 |
| 1902190879 | Kristyn Marie Darmafall | Orthopaedic Surgery | 3385 Dexter Ct Ste 300, Davenport, IA 52807-3471 | 2011-06-08 |
| 1902134406 | Tri-state Specialists, LLP | Orthopaedic Surgery | 2730 Pierce St Ste 300, Sioux City, IA 51104-3765 | 2009-11-23 |
| 1104058502 | Keith Robert Wolstenholme | Orthopaedic Surgery | 200 Hawkins Dr, Orthopaedic Surgery Department, Iowa City, IA 52242-1009 | 2009-08-18 |
| 1134358500 | Kellen L Huston | Orthopaedic Surgery | 1 Edmundson Pl, Suite 500, Council Bluffs, IA 51503-4658 | 2009-07-07 |
| 1881714079 | Mark Baird Kirkland | Orthopaedic Surgery | 3408 Woodland Ave, Ste 205, West Des Moines, IA 50266-6506 | 2007-03-30 |
| 1740329580 | Iowa Specialty Hospital- Clarion | Orthopaedic Surgery | 1316 S Main St, Clarion, IA 50525-2019 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50325 |
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| 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.