Active NPIIndividual provider

Dylan P Jacobus, MD

Surgery in Ellsworth, Maine

NPI Number1801259189
Practice location
50 Union St Ste 2200, Ellsworth, ME 04605-1534
Fax
207-664-5664
Last updated
October 6, 2024

Dylan Patrick Jacobus is a Surgery based in Ellsworth, ME. Dylan Patrick Jacobus practices in Ellsworth, ME and has the professional credentials of MD. The NPI Number for Dylan Patrick Jacobus is 1801259189 and holds a License No. MD24406 (ME). The current practice location address for Dylan Patrick Jacobus is 50 Union St Ste 2200, Ellsworth, ME 04605-1534 and can be reached out via phone at 207-664-5642 and via fax at 207-664-5664.

Provider Profile Details

NPI Number
1801259189
Provider Name
Dylan Patrick Jacobus
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
50 Union St Ste 2200, Ellsworth, ME 04605-1534
Phone Number
207-664-5642
Fax Number
207-664-5664
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
April 3, 2016
Last Update Date
October 6, 2024
Certification Date
October 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
50 Union St Ste 2200
Ellsworth, ME 04605-1534
State
Maine
Zip
04605-1534
Phone Number
207-664-5642
Fax Number
207-664-5664
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
50 Union St Ste 2300
Ellsworth, ME 04605-1534
City
Ellsworth
State
ME
Zip
04605-1534
Phone Number
207-664-5642

License Information

License Number (1)
MD24406
License State (1)
ME
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
6401
License State (2)
WI
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dylan P Jacobus, MD?

The NPI number of Dylan P Jacobus, MD is 1801259189. It was assigned on April 3, 2016 and is currently active in the NPPES registry.

What is the specialty of Dylan P Jacobus, MD?

Dylan P Jacobus, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in ME under license number MD24406.

Where does Dylan P Jacobus, MD practice?

The practice location is 50 Union St Ste 2200, Ellsworth, ME 04605-1534. The office can be reached at 207-664-5642 (phone) or 207-664-5664 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801259189 directly on the NPPES registry website.

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