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

Individual provider Anesthesiology Physician · NPI 1871169953

Jacob Jarecke, MD is an Anesthesiology in Charleston, South Carolina. Qualified in 2025, 1 year ago. Practices with South Tahoe Anesthesia Medical Group, a 9-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2021
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

169 Ashley Ave Rm 202
Charleston, SC 29425-8905
Phone: (843) 792-2322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence LL86136 (SC)

Record details

NPI number1871169953
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2021
Last updated in NPPESMay 31, 2021
Certification dateMay 31, 2021

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice South Tahoe Anesthesia Medical Group — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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