DR. JACOB WADE ORMSBY (NPI# 1013274729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013274729 |
| Entity Type | Individual |
| Full Name | DR. JACOB WADE ORMSBY |
| Credential | M.D., M.B.A. |
| Practice Address |
676 N Saint Clair St Ste 1400 Chicago IL 60611-2951 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 3126951292 |
| Mailing Telephone | 5052723303 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD-2018-0167 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Tennessee, 910 Madison Avenue Suite 1031, Memphis, TN 381630001 | 9014485364 | |
| 2211 Lomas Blvd Ne, Albuquerque, NM 871062719 | 5052722269 |
| Street Address |
676 N SAINT CLAIR ST STE 1400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548204035 | David M. Shapiro | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2006-06-15 |
| 1275169732 | Maciej Jakub Bielaczyc | Social Worker | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2020-03-17 |
| 1558742072 | Joy Liu | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611 | 2015-06-10 |
| 1780022897 | Ronak Vashi Patel | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2013-06-11 |
| 1497014294 | Justin Richard Boike | Internal Medicine | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2012-05-14 |
| 1548528847 | Chase Krumpelman | Radiology | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2012-04-25 |
| 1528214855 | Marinos Kontzialis | Radiology | 676 N Saint Clair St Ste 1400, Chicago, IL 60611-2951 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736463 | Melih Akyuz | Radiology | 1653 W Congress Pkwy Ste 181, Chicago, IL 60612-3833 | 2020-10-01 |
| 1891225256 | Anoop Chacko Achanaril | Radiology | 1653 W. Congress Parkway, Jelke 181, Chicago, IL 60612 | 2017-06-18 |
| 1528224045 | Corey Steven Bregman | Radiology | 2300 Childrens's Plaza, No. 9, Children's Memorial Hospital, Chicago, IL 60614-3363 | 2008-08-04 |
| 1780861807 | Qasim Bashir | Radiology | 912 S. Wood St. M/c 799, Chicago, IL 60612 | 2008-01-31 |
| 1184771073 | Tamara Jackson | Radiology | 469 W Huron St, Apt 810, Chicago, IL 60654-3467 | 2007-01-04 |
| 1285740043 | Benjamin P Liu | Radiology | 676 N Saint Clair St Fl 14, Dept Neuroradiology, Chicago, IL 60611-2951 | 2006-08-22 |
| 1790726495 | Hamid Mohazab | Radiology | 1122 N Dearborn St, Chicago, IL 60610-5057 | 2006-06-10 |
| 1457349979 | Prashant K Chawla | Radiology | 30 W Erie St, #701, Chicago, IL 60654-2827 | 2005-10-10 |
| 1346242088 | Eugene W Brown | Radiology | 773 W Melrose St, Chicago, IL 60657-3417 | 2005-08-12 |
| 1265432322 | Eugene C Anandappa | Radiology | 225 E Chicago Ave # 9, Chicago, IL 60611-2991 | 2005-07-29 |
| Find all providers in CHICAGO | ||||
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| 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.