Healthcare Provider Details

I. General information

NPI: 1346761079
Provider Name (Legal Business Name): JACOB SCHOOF DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 06/09/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10581 DOUBLE R BLVD
RENO NV
89521-8909
US

IV. Provider business mailing address

10581 DOUBLE R BLVD
RENO NV
89521-8909
US

V. Phone/Fax

Practice location:
  • Phone: 575-784-7316
  • Fax:
Mailing address:
  • Phone: 775-982-5437
  • Fax: 775-982-6021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS4383
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDO3828
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: