Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104891324 Individual Practitioner Male Practitioner

Dr. Edward Jacobs , MD

Pediatrics • Lake Stevens, WA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Jacobs, MD is a registered healthcare professional specializing in Pediatrics in Lake Stevens, WA. Practice services are available at 8910 VERNON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8910 Vernon Rd

Lake Stevens, WA 982582400

Telephone 4253350966
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1376695551

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lake Stevens, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Lake Stevens, WA (1802 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 WA MD00029257

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1002537 (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1467427880

Doctor of Medicine (M.D.)

Dr. George Vasil , MD

Family Medicine

NPI 1588639330

Doctor of Medicine (M.D.)

Glenn Mahoney , PA-C

Physician Assistant - Medical

NPI 1841263365

Physician Assistant (Certified)

Dr. John Lank , MD

Internal Medicine

NPI 1942275797

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2012

Registered at 8910 VERNON RD, LAKE STEVENS, WA 982582400 (Tel: 4253350966)

📍
Updated Business Mailing Address December 11, 2012

Registered at PO BOX 5127, EVERETT, WA 982065127

👤
Provider Name / Credentials Updated December 11, 2012

Recorded as EDWARD JACOBS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Pediatrics (License #MD00029257 in WA)

🟢
Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Edward Jacobs. Be the first to share your experience!

Sign in to leave a review for Dr. Edward Jacobs

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104891324
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: December 11, 2012
Sole Proprietor: No

Mailing Address

Po Box 5127

Everett, WA 982065127

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.