Dr. Jacob Alex Mathew Varghese
M.D. | Pediatrics | Male
Dr. Jacob Alex Mathew Varghese, M.D. is a Monroe, Washington based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Jacob Alex Mathew Varghese is also known as
Jacob Varghese.
Current practice location of Dr. Jacob Alex Mathew Varghese is
19200 N Kelsey St, Monroe, Washington - 98272-1431. He can be contacted on phone at
360-794-7994 and fax number 360-805-4757.
Dr. Jacob Alex Mathew Varghese is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jacob Alex Mathew Varghese is
1922196013 which was assigned by NPPES on 11 Oct, 2006 and it was last updated on 23 Apr, 2021.
Dr. Jacob Alex Mathew Varghese license number is
MD60523725 for Pediatrics (208000000X) in Washington.
Dr. Jacob Alex Mathew Varghese is a pediatrician who 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.
Complete Profile:
Dr. Jacob Alex Mathew Varghese basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jacob Alex Mathew Varghese |
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| Other Name : | Jacob Varghese |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jacob Alex Mathew Varghese 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 : | 19200 N Kelsey St
Monroe, WA, 98272-1431
United States |
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| Phone Number : | 360-794-7994 |
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| Fax Number : | 360-805-4757 |
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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 : | 1922196013 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Oct, 2006 |
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| Last Updated On : | 23 Apr, 2021 |
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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 Dr. Jacob Alex Mathew Varghese are as mentioned. Primary taxonomy code for Dr. Jacob Alex Mathew Varghese, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD60523725 | WA |
| 208000000X | Pediatrics | No | 57074561205 | UT |
| 208000000X | Pediatrics | No | MD419174 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jacob Alex Mathew Varghese such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 942854057014 | MEDICAID | UT | |
| 942854058940 | MEDICAID | UT | |
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) | jvarghese507942@wm.providencedirect.org
| No affiliation |
|
| 19200 N KELSEY ST,
MONROE, WA, 98272-1431
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 : | Po Box 3360
Portland, OR, 97208-3360
United States |
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| Phone Number : | 866-366-2983 |
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Business Location:
Patients can refer following map for directions to
Dr. Jacob Alex Mathew Varghese practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.