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IndividualActiveMedicare EnrolledCan Order/Refer

Jacob Rodriguez

Physician Assistant

NPI: 1316675382Garden City, Utah, 84028(208) 232-7862Male

About Jacob Rodriguez

Jacob Rodriguez is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1316675382. Jacob Rodriguez received his medical education at OTHER, graduating in 2024.

Their primary practice is located at 325 W LOGAN RD, Garden City, Utah 84028. Patients can reach the office at (208) 232-7862. In addition to the primary location, Jacob Rodriguez maintains 1 additional practice location.

Jacob Rodriguez is affiliated with 2 hospitals in the area. Jacob Rodriguez is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Jacob Rodriguez has been NPI-registered since 2022.

Key Metrics

Practice Locations

2

Affiliated Hospitals

2

Doctor Details

Identity & Credentials

NPI Number
1316675382
Entity Type
Individual
First Name
Jacob
Last Name
Rodriguez
Gender
Male
Medical School
OTHER
Graduation Year
2024
Sole Proprietor
No
Status
active

Primary Practice Location

Address
325 W LOGAN RD
City
Garden City
State
Utah
ZIP
84028-7754
Country
United States
Phone
(208) 232-7862

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
500 S 11TH AVE STE 400
City
POCATELLO
State
ID
ZIP
832014880

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Jacob Rodriguez's NPI number?
Jacob Rodriguez's National Provider Identifier (NPI) is 1316675382. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Jacob Rodriguez specialize in?
Jacob Rodriguez specializes in Physician Assistant. They received their medical education at OTHER (class of 2024).
Where is Jacob Rodriguez located?
Jacob Rodriguez practices at 325 W LOGAN RD, Garden City, Utah 84028. You can reach them by phone at (208) 232-7862. They also have 1 additional practice location.
Does Jacob Rodriguez accept Medicare?
Yes, Jacob Rodriguez is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Jacob Rodriguez offer telehealth or virtual visits?
Jacob Rodriguez does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Jacob Rodriguez is 1316675382.