MR. DAVID B JACK (MD) – Obesity Medicine (Family Medicine) Physician, NPI 1255434296

MR. DAVID B JACK (MD) is a healthcare provider. based in Draper, Utah. specializing in Obesity Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. 168941-1205 (UT). The NPI Number for MR. DAVID B JACK (MD) is 1255434296

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID B JACK (MD)
NPI
1255434296
Phone
(801) 576-8855
Address
117060 S 700 E
Enumeration Date
6 September 2006
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
5193790079
Group Practice PAC ID
1557443322
Professional Enrollment ID
I20040907001148

Contacts

Secure Messaging
DAVID.JACK@hca3.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for MR. DAVID B JACK (MD)

  • 117060 S 700 E

    #111

    DRAPER, UT 84020

    Phone: (801) 576-8855

    Fax: (801) 576-9800

    Type: Mailing

  • 11760 S 700 E STE 111

    DRAPER, UT 840206605

    Phone: (801) 572-2504

    Fax: (801) 576-9800

    Type: Location

  • PO BOX 198560

    ATLANTA, GA 303841721

    Phone:

    Type: Mailing

  • 74 E KIMBALLS LN STE 260

    DRAPER, UT 840205009

    Phone: (801) 545-8480

    Fax: (801) 253-1602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557443322View full group profile
NameSpecialtyState
Physician AssistantGA
Internal MedicineGA
Osteopathic Manipulative Medicine, Family PracticeUT
Physician AssistantFL
Family PracticeUT
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerCA
Family PracticeUT

Reviews

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Frequently asked questions

What federal number belongs to MR. DAVID B JACK (MD)?
The federal identifier for MR. DAVID B JACK (MD) is NPI 1255434296.
Does this profile mean MR. DAVID B JACK (MD) is currently active?
Yes — MR. DAVID B JACK (MD) appears active in the national provider directory.
Can you summarize MR. DAVID B JACK (MD)'s specialty in plain language?
Clinically, the directory lists MR. DAVID B JACK (MD) with Obesity Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MR. DAVID B JACK (MD)?
The snapshot lists Draper, Utah for MR. DAVID B JACK (MD); download NPPES for the complete set.
How can I contact MR. DAVID B JACK (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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