Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124092754 Individual Practitioner Male Practitioner

Dr. Charles D Jacobson , MD

Internal Medicine • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Jacobson, MD is a registered healthcare professional specializing in Internal Medicine in Puyallup, WA. Practice services are available at 1701 3RD ST SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 3rd St Se

Puyallup, WA 983724511

Telephone 2539675767
Fax 2536975682
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Puyallup, WA (3169 Statewide)

Telehealth Adoption Rate
17.2% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00013535

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1414200 (WA)
Commercial Insurance / Payer ID Medicare Other-Individual
111661110 (WA)
Commercial Insurance / Payer ID Medicare Other-Group
CO3401 (WA)
Commercial Insurance / Payer ID Taxonomy
193400000X (WA)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Samantha Morris , ARNP

Nurse Practitioner - Adult Health

NPI 1194446336

Advanced Registered Nurse Practitioner

Dr. Nichol Iverson , MD

Internal Medicine

NPI 1467425330

Doctor of Medicine (M.D.)

NPI 1811040173

Doctor of Medicine (M.D.)

Vanessa Daniels , ARNP

Nurse Practitioner - Adult Health

NPI 1811410442

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2011

Registered at 1701 3RD ST SE, PUYALLUP, WA 983724511 (Tel: 2539675767)

📍
Updated Business Mailing Address November 08, 2011

Registered at 1701 3RD ST SE, PUYALLUP, WA 983724511 (Tel: 2539675767)

👤
Provider Name / Credentials Updated November 08, 2011

Recorded as CHARLES JACOBSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2011

Internal Medicine (License #MD00013535 in WA)

🟢
Initial NPI Registration & Enumeration February 13, 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: 1124092754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: November 08, 2011
Sole Proprietor: No

Mailing Address

1701 3rd St Se

Puyallup, WA 983724511

Phone: 2539675767

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.