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

Charles A Jacobson, MD

Individual provider Orthopaedic Surgery Physician · NPI 1760492656

Charles A Jacobson, MD is an Orthopaedic Surgery Physician in Moscow, Idaho. Practices as a sole proprietor. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 W A St Ste 201
Moscow, ID 83843-5065
Phone: (208) 883-2828
Fax: (208) 882-2179
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Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M6567 (ID)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 31851 (WA)

Record details

NPI number1760492656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESAugust 4, 2015
Mailing address2500 W A St, Suite 201, Moscow, ID 83843-5065

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