Chad Thomas Jacobsen
MD | Pediatric Hematology-Oncology | Male
Chad Thomas Jacobsen, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Chad Thomas Jacobsen is
Po Box 19305, Charlotte, North Carolina - 28219-9305. He can be contacted on phone at
.
Chad Thomas Jacobsen is a sole proprietor of his business.
NPI number (Unique professional ID) for Chad Thomas Jacobsen is
1649292095 which was assigned by NPPES on 24 Jul, 2006 and it was last updated on 04 May, 2023.
Chad Thomas Jacobsen license number is
2008-02008 for Pediatrics, Pediatric Hematology-Oncology (2080P0207X) in North Carolina.
Chad Thomas Jacobsen is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Chad Thomas Jacobsen basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Hematology-Oncology |
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| Provider Name : | Chad Thomas Jacobsen |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Chad Thomas Jacobsen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
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| Phone Number : | |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649292095 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Jul, 2006 |
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| Last Updated On : | 04 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Chad Thomas Jacobsen are as mentioned. Primary taxonomy code for Chad Thomas Jacobsen, MD is
2080P0207X (Pediatrics, Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2008-02008 | NC |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | Yes | 2008-02008 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-381-8840 |
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, STE 601
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-381-9900 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cjacobsen62585@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 1350 S Kings Dr,
Charlotte, NC, 28207-2134
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1350 S Kings Dr
Charlotte, NC, 28207-2134
United States |
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| Phone Number : | 704-446-1422 |
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Business Location:
Patients can refer following map for directions to
Chad Thomas Jacobsen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.