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NPISignal

Individual Healthcare Provider

Deasia Dominique Jacob, MD

NPI Record: ActiveSurgery — Plastic and Reconstructive Surgery
NPI1619339728
Frederick, Maryland

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 identified

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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Surgery

    Plastic and Reconstructive Surgery

    Allopathic & Osteopathic Physicians

    Primary

    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 208200000X
  • Plastic 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
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

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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