Timothy Jacks
D.O. | Pediatrics | Male
Timothy Jacks, D.O. is a Mesa, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Timothy Jacks is
4540 E Baseline Rd, Suite 108, Mesa, Arizona - 85206-4613. He can be contacted on phone at
480-892-3880 and fax number 480-545-4551.
Timothy Jacks is a sole proprietor of his business.
NPI number (Unique professional ID) for Timothy Jacks is
1164686549 which was assigned by NPPES on 15 Jul, 2008 and it was last updated on 17 May, 2013.
Timothy Jacks license number is
R70095 for Pediatrics (208000000X) in Arizona.
Timothy Jacks 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:
Timothy Jacks basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Timothy Jacks |
|---|
| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Timothy Jacks 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 : | 4540 E Baseline Rd, Suite 108
Mesa, AZ, 85206-4613
United States |
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| Phone Number : | 480-892-3880 |
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| Fax Number : | 480-545-4551 |
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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 : | 1164686549 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Jul, 2008 |
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| Last Updated On : | 17 May, 2013 |
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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 Timothy Jacks are as mentioned. Primary taxonomy code for Timothy Jacks, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | R70095 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Timothy Jacks such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| R70095 | Other | AZ | TRAINING PERMIT |
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 : | 4540 E Baseline Rd, Suite 108
Mesa, AZ, 85206-4613
United States |
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| Phone Number : | 480-892-3880 |
|---|
| Fax Number : | 480-545-4551 |
|---|
Business Location:
Patients can refer following map for directions to
Timothy Jacks 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.