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

Individual provider Neurology Physician · NPI 1609868470

Dr. Thomas R. Jacques, MD is a Neurology in Maplewood, Minnesota. Graduated from University of Minnesota Medical School in 1985, 41 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
41
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2005
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

1650 Beam Ave Ste 200
Maplewood, MN 55109-1192
Phone: (651) 221-9051
Fax: (651) 223-5220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 31605 (MN)

Record details

NPI number1609868470
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJanuary 5, 2011
Mailing address1650 Beam Ave, Suite 200, Maplewood, MN 55109-1192

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1985 (41 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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