Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles D Jacobson, MD

Internal Medicine Physician in Puyallup, WA · enumerated 2006 · practices at Dedicated Womens Health Specialists Inc P.S..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124092754

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Registry record

Entity type Individual (Type 1)

Name Charles D Jacobson

Credential MD

Sex Male

Practice address 1701 3rd St Se, Puyallup, WA, 98372

Phone (253) 967-5767

Fax (253) 697-5682

Enumeration date Feb 13, 2006

Last updated in NPPES Nov 8, 2011

Taxonomy & licenses

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License MD00013535 (WA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
111661110	Other	WA	MEDICARE OTHER-INDIVIDUAL
1414200	Medicaid	WA	-
CO3401	Other	WA	MEDICARE OTHER-GROUP
193400000X	Other	WA	TAXONOMY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Charles Jacobson's NPI record?

Cross-check NPI 1124092754 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1124092754 active?

Yes, as of the latest NPPES snapshot, NPI 1124092754 is active (record last updated 2011-11-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-08.