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Tatiana Ellen Jaacks, PA

  • Goodyear, AZ
  • Physician assistant
NPI1295622553PAC ID1951886068
Medical group
1
State license
1
Year NPI issued
2025
Practice address
14455 W Van Buren St # 100, Goodyear, AZ 85338
Practice phone
Call (248) 410-4704
Professional email
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Personal email
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Mobile number
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Social profiles

Medical group

Banner Medical Group (BMG)

Phoenix, Arizona

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Tatiana Ellen Jaacks is a physician assistant in Goodyear, Arizona

Tatiana Jaacks practices with Banner Medical Group (BMG), a medical group.

Tatiana Jaacks' NPI, 1295622553, was assigned on June 19, 2025.

NPI and contact details
NPI
1295622553NPI Registry (opens in a new tab)
Medicare PAC ID
1951886068
NPI enumeration date
June 19, 2025
NPI status
Active
Practice phone
(248) 410-4704
Professional email
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Personal email
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Mobile number
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Sex
Female

Sources: NPPES NPI Registry (CMS); and Dmand AI Professional Profile Data

Tatiana Ellen Jaacks' practice address is in Goodyear, Arizona

Tatiana Jaacks' practice address in the NPI Registry is 14455 W Van Buren St # 100, Goodyear, AZ 85338. The practice phone is (248) 410-4704.

  • NPI Registry address
    14455 W Van Buren St # 100, Goodyear, AZ 85338Phone(248) 410-4704

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Tatiana Ellen Jaacks is affiliated with 1 medical group

Tatiana Jaacks is part of Banner Medical Group (BMG), a medical group in Phoenix, Arizona.

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Tatiana Ellen Jaacks' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Tatiana Jaacks practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Banner Medical Group (BMG)Available with a free account

Source: Dmand AI Technology Install Data

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Tatiana Ellen Jaacks is one of 2,965 physician assistants in Arizona

Physician assistant is Tatiana Jaacks' primary specialty in the NPI Registry, under taxonomy code 363A00000X. Tatiana Jaacks has a license on file in Arizona.

Specialties and state licenses

  • Physician assistant, Arizonataxonomy 363A00000X

Physician assistants near Tatiana Jaacks

Counts of physician assistants with a Dmand AI profile, by place and practice. Each opens the list.

2,965physician assistants in Arizona57physician assistants in Goodyear4physician assistants at Banner Medical Group (BMG)

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Sources for Tatiana Ellen Jaacks's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Tatiana Ellen Jaacks

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Tatiana Ellen Jaacks' NPI number?

Tatiana Ellen Jaacks' NPI number is 1295622553. It was assigned on June 19, 2025, and it is active in the NPI Registry.

What does Tatiana Ellen Jaacks specialize in?

Tatiana Ellen Jaacks is a physician assistant in Goodyear, Arizona. The primary specialty in the NPI Registry is Physician Assistant (taxonomy code 363A00000X).

Where does Tatiana Ellen Jaacks practice?

Tatiana Jaacks practices at 14455 W Van Buren St # 100, Goodyear, AZ 85338. Tatiana Jaacks' primary practice is Banner Medical Group (BMG), a medical group.

What is Tatiana Ellen Jaacks' office phone number?

The practice phone on file for Tatiana Jaacks is (248) 410-4704.

What medical group is Tatiana Ellen Jaacks part of?

Tatiana Jaacks is part of Banner Medical Group (BMG) in Phoenix, Arizona.

How long has Tatiana Ellen Jaacks been practicing?

Tatiana Jaacks' NPI was assigned in 2025.

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