Individual Healthcare Provider
Deasia Dominique Jacob, MD
Provider's NPPES record last updated: June 17, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1619339728
- Primary Specialty
- Surgery — Plastic and Reconstructive Surgery
- Practice Location
- Frederick, Maryland
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 11:21 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Surgery
Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
A surgeon who specializes in plastic and reconstructive surgery.
Taxonomy code 2086S0122X Plastic Surgery
Allopathic & Osteopathic Physicians
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Taxonomy code 208200000XPlastic Surgery
Surgery of the Hand
Allopathic & Osteopathic Physicians
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Taxonomy code 2082S0105X
Provider-Reported License Information
- Surgery (Maryland)
- D0093827
- Plastic Surgery (Maryland)
- D93654
- Plastic Surgery (Maryland)
- D93654
Practice Locations
Practice Location
501 W 7th St
Frederick, Maryland 21701-4586
Phone: (240) 215-6310
Additional Practice Location
1562 Opossumtown Pike
Frederick, Maryland 21702-4920
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
141 Thomas Johnson Dr
Frederick, Maryland 21702-4502
Phone: (301) 846-0100
Fax: (301) 846-0244
Additional Practice Location
1194 Dutchmans Creek Dr
Brunswick, Maryland 21716-9786
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
194 Thomas Johnson Dr
Frederick, Maryland 21702-4679
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
75 Thomas Johnson Dr
Frederick, Maryland 21702-4895
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
504 E Ridgeville Blvd
Mount Airy, Maryland 21771-5942
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
7211 Bank Ct
Frederick, Maryland 21703-8483
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
3430 Worthington Blvd
Frederick, Maryland 21704-7017
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
3000d Ventrie Ct
Myersville, Maryland 21773-7817
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
230 W Patrick St
Frederick, Maryland 21701-6945
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
15 E Frederick St
Walkersville, Maryland 21793-8234
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
400 W 7th St
Frederick, Maryland 21701-4506
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
16403 Old Emmitsburg Rd
Emmitsburg, Maryland 21727-8929
Phone: (240) 215-6310
Fax: (240) 439-8910
Additional Practice Location
1 Frederick Health Way
Frederick, Maryland 21701-9435
Phone: (240) 215-6310
Fax: (240) 439-8910
Record Information
- Enumeration Date
- March 28, 2016
- Provider's NPPES Record Last Updated
- June 17, 2025
- Certification Date
- June 17, 2025
- NPISignal NPPES Dataset
- August 2026
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