ANNE USHA JACOB (NPI# 1033107636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033107636 |
| Entity Type | Individual |
| Full Name | ANNE USHA JACOB |
| Credential | M.B.B.S. |
| Practice Address |
9759 Manchester Road Rock Hill MO 63119 |
| Practice Telephone | 3147814922 |
| Practice Fax Number | 3146450158 |
| Mailing Telephone | 3147814922 |
| Mailing Fax Number | 3146450158 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2015008169 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 42911 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 350431000 | 05 |
| Street Address |
9759 MANCHESTER ROAD |
| City | ROCK HILL |
| State | MO |
| Zip Code | 63119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942599808 | Katherine Ruth Endicott | Family Medicine | 9759 Manchester Road, Rock Hill, MO 63119 | 2011-03-31 |
| 1902034689 | Yan-hua Katy Liu | Family Medicine | 9759 Manchester Road, Rock Hill, MO 63119 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1053887612 | St. Gianna Pediatrics, LLC | Pediatrics | 7387 Watson Road, Shrewsbury, MO 63119 | 2018-10-22 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1396109880 | Ritesh Gandhi | Family Medicine | 7345 Watson Rd Ste 203, Saint Louis, MO 63119 | 2016-04-11 |
| 1568834489 | Antonio Robinson | Counselor | 330 N. Gore, Great Circle, Saint Louis, MO 63119 | 2015-10-30 |
| 1922484039 | Odessa Baker X | Dietary Manager | 525 N. Laclede Station Road, St. Louis, MO 63119 | 2015-07-31 |
| 1194114694 | Laura Maher | Social Worker | 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 | 2015-01-21 |
| 1427314046 | Dick (richard) Ralph Brummett | Family Medicine | 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 | 2012-04-09 |
| 1972872935 | Dolliene A. Raabe | Social Worker | 8050 Watson Road, Suite 201, St. Louis, MO 63119 | 2011-12-21 |
| Find all providers in zip 63119 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356997597 | Tamara Doran | Family Medicine | 223 Hillcrest Ave, Rock Hill, SC 29732-1026 | 2019-08-14 |
| 1902284631 | Infinite Wellness of Rock Hill LLC | Family Medicine | 739 Galleria Blvd, Suite 112, Rock Hill, SC 29730-7818 | 2015-05-14 |
| 1952667115 | Saba Yousefian | Family Medicine | 2024 Welborn St, Rock Hill, SC 29732-1130 | 2012-04-02 |
| 1497911317 | Rion M. Rutledge | Family Medicine | 2111 Hayes Dr, Rock Hill, SC 29732-1152 | 2008-07-30 |
| 1295752111 | Brandon Roger Sick | Family Medicine | 2633 Celanese Rd, Rock Hill, SC 29732-1205 | 2006-07-16 |
| 1891726477 | Medical Associates of Rock Hill | Family Medicine | 2450 India Hook Rd, Suite B, Rock Hill, SC 29732-3270 | 2006-07-05 |
| 1871567818 | Jacques Rodney Days | Family Medicine | 1131 Saluda St, Rock Hill, SC 29730-5776 | 2006-02-15 |
| 1023089919 | Salvatore Franco Bianco | Family Medicine | 1393 Celanese Rd, Rock Hill, SC 29732-1722 | 2006-01-30 |
| 1447251186 | Nicholas Hamner Tuttle | Family Medicine | 1435 Ebenezer Rd, Rock Hill, SC 29732-2338 | 2005-08-03 |
| 1972500122 | Vicky E Kerr | Family Medicine | 1632 Ebenezer Rd, Rock Hill, SC 29732-1809 | 2005-07-01 |
| Find all providers in ROCK HILL | ||||
Please comment or provide details below to improve the information on ANNE USHA JACOB.
| 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.