Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles a Jacobson MD

Organization Orthopaedic Surgery Physician · NPI 1144376617

Charles a Jacobson MD is an Orthopaedic Surgery Physician in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007

Practice location Address checks out

2500 W A St Ste 201
Moscow, ID 83843-6000
Phone: (208) 883-2828
Fax: (208) 882-2179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M6567 (ID)

Record details

NPI number1144376617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Jacobson — Owner · (208) 883-2828
NPI enumeratedJanuary 26, 2007
Last updated in NPPESAugust 19, 2014
Mailing address2500 W A St, Suite 201, Moscow, ID 83843-6000

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