JACOBY JACOBSEN (NPI# 1003231952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003231952 |
| Entity Type | Individual |
| Full Name | JACOBY JACOBSEN |
| Credential | D.O. |
| Practice Address |
2213 Cherry St Toledo OH 43608-2603 |
| Practice Telephone | 4192516596 |
| Practice Fax Number | 4192516849 |
| Mailing Telephone | 4192516596 |
| Mailing Fax Number | 4192516849 |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 11722081-1204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2213 CHERRY ST |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778837 | Theodore M Braun | Surgery | 2213 Cherry St, 1st Floor, Toledo, OH 43608-2603 | 2005-05-23 |
| 1902403579 | Christopher Robert Colter | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1235736943 | Tessa Shea Palazzolo | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1952916363 | Courtney Bea May | Social Worker | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-09-11 |
| 1083234975 | Landon Ryan Bowerbank | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-21 |
| 1255951380 | Sanju Riti Wadhwa | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-18 |
| 1770102360 | Mohinder Kaur Gill | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1093334773 | Swathi Yarlagadda | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1558980326 | Jillian Sampair | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1427677129 | Huda Fatima | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
| Find all providers in zip 43608 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468418 | Mercy Health Physicians North Specialty Care LLC | Orthopaedic Surgery | 2200 Jefferson Ave Fl 4, Toledo, OH 43604-7102 | 2020-05-12 |
| 1215277801 | Seth Andrew Phillips | Orthopaedic Surgery | 2409 Cherry St Ste 10, Toledo, OH 43608-2625 | 2013-02-19 |
| 1114905338 | George Gabriel Rakolta | Orthopaedic Surgery | 4533 Granville Ct, Toledo, OH 43615-1606 | 2006-01-06 |
| 1639152978 | Kirk R. Davis | Orthopaedic Surgery | 4126 N Holland Sylvania Road, 100, Toledo, OH 43623 | 2005-11-21 |
| 1033672704 | Zachary William Fulton | Orthopaedic Surgery | Mercy St. Vincent Medical Center, 2409 Cherry St., Mob 1, Suite 10, Toledo, OH 43608 | 2019-04-10 |
| 1841752045 | Jae Min Yim | Orthopaedic Surgery | 2409 Cherry St Ste 10, Toledo, OH 43608-2625 | 2019-04-05 |
| 1972988954 | Maged Hanna | Orthopaedic Surgery | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2015-07-20 |
| 1700272648 | Joseph Herron | Orthopaedic Surgery | 3000 Arlington Ave # Ms 1050, Graduate Medical Education, Toledo, OH 43614-2595 | 2015-04-07 |
| 1629483391 | Osama Elattar | Orthopaedic Surgery | 1125 Hospital Dr, Toledo, OH 43614-8001 | 2014-06-21 |
| 1508108713 | Mina Botros Tanios | Orthopaedic Surgery | 3000 Arlington Ave, Toledo, OH 43614 | 2013-03-26 |
| Find all providers in TOLEDO | ||||
Please comment or provide details below to improve the information on JACOBY JACOBSEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.