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NPI Code Detail

MEDICARE: TAMAYO S JACOBS MD

MEDICARE: TAMAYO S JACOBS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician04-27686KS
2207R00000XInternal Medicine Physician2011023454MO
3208M00000XHospitalist Physician2011023454MO

General Provider Information

NPI Number : 1447255005
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMAYO S JACOBS MD
Provider Business Mailing Address
First Line : 3406 BROADWAY BLVD STE B
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2767
Country : US
Telephone Number : 816-756-5839
Fax Number : 816-756-5874
Provider Business Practice Location Address
First Line : 3406 BROADWAY BLVD STE B
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-2767
Country : US
Telephone Number : 816-756-5839
Fax Number : 816-756-5874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 07/30/2025

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Directions to “ TAMAYO S JACOBS MD” Practice Location

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