What is Pothen Jacob's NPI number?

Pothen Jacob's National Provider Identifier (NPI) is 1376640474, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Pothen Jacob's specialty?

Pothen Jacob is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Pothen Jacob located?

Pothen Jacob's practice location on file with NPPES is 4601 State St, E St Louis, IL 62205-1359.

What is Pothen Jacob's phone number?

The practice phone number listed in the NPPES registry for Pothen Jacob is (618) 874-3700.

Is Pothen Jacob's NPI active?

Yes — Pothen Jacob's NPI (1376640474) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Pothen Jacob, MD

NPI 1376640474 · Pediatrics Physician · E St Louis, IL

Pothen Jacob, MD is a Pediatrics Physician provider in E St Louis, IL (NPI 1376640474).

Provider details

NPI number: 1376640474
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: No
License: 3648725 (IL)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 3648725 (IL)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4601 State St

Suite #210

E St Louis, IL 62205-1359

Phone: (618) 874-3700

Fax: (618) 874-5031

Street-level locationGet directions

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Mailing address

Po Box 2228