Organization
ROLAND W. JACOBS, MD, PC
Active
Organization
ROLAND W. JACOBS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND W. JACOBS M.D. (PRESIDENT)
(575) 770-7892
Entity
Organization
Contact information
Practice address
156 CERRITO-COLORADO RD., VALDEZ, NM 87580
(575) 770-7892
(575) 776-2922
Mailing address
PO BOX 459, ARROYO SECO, NM 87514-0459
(575) 770-7892
(575) 776-2922
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
91225
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80077226
—
NM
01
—
W18090
MEDICARE PTAN
CA
Enumeration date
08/07/2006
Last updated
02/18/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up