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Deactivated NPI 1003979501 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey Evan Jacobs , MD

Pediatrics • Calumet, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jeffrey Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 18, 2006
NPI Deactivation Date May 27, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Jacobs, MD was a registered Pediatrics practicing in Calumet, MI. Throughout an active medical career spanning 14 years, Dr. Jacobs provided care at the practice location at 324 5TH ST until profile deactivation on 2020-05-27.

Practice Location & Contact Primary Location

Practice Address

324 5th St

Calumet, MI 499131502

Telephone 9069342600
Fax 9069342601
Associated Practice Facility / Clinic
🏢 Superior Pediatrics, Pllc Facility NPI 1417281411

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Calumet, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Calumet, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301079067

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lisa Spence , CPNP

Nurse Practitioner - Pediatrics

NPI 1245462142

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 27, 2020

Record deactivated on May 27, 2020

NPI Profile Active January 28, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 28, 2011

Registered at 324 5TH ST, CALUMET, MI 499131502 (Tel: 9069342600)

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Updated Business Mailing Address January 28, 2011

Registered at 324 5TH ST, CALUMET, MI 499131502 (Tel: 9069342600)

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Provider Name / Credentials Updated January 28, 2011

Recorded as JEFFREY JACOBS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2011

Pediatrics (License #4301079067 in MI)

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Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003979501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: January 28, 2011
Deactivation Date: May 27, 2020

Mailing Address

324 5th St

Calumet, MI 499131502

Phone: 9069342600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.