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

Dr. Jordan Vernon Jacobs, MD

Individual provider Trauma Surgery Physician · NPI 1215160379

Dr. Jordan Vernon Jacobs, MD is a General Surgery in Phoenix, Arizona. Graduated from Columbia University College of Physicians and Surgeons in 2009, 17 years ago. Practices with St Joseph's Hospital and Medical Center, a 23-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
17
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
AZ
In the registry since
2009
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

500 W Thomas Rd Ste 400
Phoenix, AZ 85013-4238
Phone: (480) 406-3874
Fax: (602) 406-2335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 50084 (AZ)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 50084 (AZ)

Record details

NPI number1215160379
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2009
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2009 (17 years in practice)
Group practice St. Joseph'S Hospital And Medical Center — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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