RONALD JACOBSON (NPI# 1083640916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083640916 |
| Entity Type | Individual |
| Full Name | RONALD JACOBSON |
| Credential | MD |
| Practice Address |
300 Pinellas St Clearwater FL 33756-3804 |
| Mailing Address |
Po Box 850001 Orlando FL 32885-0001 |
| Practice Telephone | 7274618537 |
| Mailing Telephone | 9044821070 |
| Mailing Fax Number | 9044821077 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME0060318 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD OF FL | 12818 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356547350 | Ronald Jay Jacobson | Registered Nurse | 10407 Airport Road, Everett, WA 98204 | 2007-06-26 |
| 1861669368 | Ronald S Jacobson | Optometrist | 1150 Bunker Hill Rd, Suite A, Houston, TX 77055-6208 | 2008-05-13 |
| 1821120122 | Ronald Jacobson | Dentist | 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 | 2007-03-12 |
| 1164519120 | Ronald Irwin Jacobson | Psychiatry & Neurology | 755 North Broadway, Medical Services Building Suite 540, Sleepy Hollow, NY 10591 | 2006-10-09 |
| 1063465870 | Ronald Stewart Jacobson | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-05-19 |
| 1487612123 | Ronald Eugene Jacobson | Physical Therapist | 1431 Premiere Dr, Mankato, MN 56001-6076 | 2006-05-03 |
| Street Address |
300 PINELLAS ST |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750723 | Robert J Rosen | Anesthesiology | 300 Pinellas St, Clearwater, FL 33756-3892 | 2005-06-14 |
| 1184239949 | Kyle Harden | Emergency Medicine | 300 Pinellas St, Clearwater, FL 33756-3892 | 2020-09-09 |
| 1396362992 | Michael Anthony Lake | Pharmacist | 300 Pinellas St, Clearwater, FL 33756-3804 | 2020-06-29 |
| 1457902082 | Alexandra Lee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-09-25 |
| 1215588348 | Sarah Hartney | Registered Nurse | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-09-20 |
| 1134774045 | Angela-theresa C Green | Nurse Practitioner | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-08-07 |
| 1225680663 | Kasey Mckenna | Nurse Practitioner | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-07-16 |
| 1972163665 | Megan Marie Donnelly | Nurse Practitioner | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-06-16 |
| 1104480409 | Janie E Martinez | Anesthesiologist Assistant | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-04-23 |
| 1528621976 | Shaunese Nicole Lee | Counselor | 300 Pinellas St, Clearwater, FL 33756-3804 | 2019-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295995512 | Dennis K Dixon | Emergency Medicine | 611 S Fort Harrison Ave, #354, Clearwater, FL 33756-5301 | 2008-06-10 |
| 1205925237 | Brandon Mednick | Emergency Medicine | 18167 Us Hwy 19 North, Suite 650, Clearwater, FL 33764-9843 | 2006-10-11 |
| 1053323527 | Wesley Alan Gabbard | Emergency Medicine | 29296 Us Hwy 19n, Suite 4, Clearwater, FL 33761 | 2006-08-13 |
| 1790727642 | Brian W Cook | Emergency Medicine | 2560 N Mcmullen Booth Rd, Ste B, Clearwater, FL 33761-4182 | 2006-06-12 |
| 1649210204 | Brian Donnan Baxter | Emergency Medicine | 5380 Tech Data Dr # 101, Clearwater, FL 33760 | 2006-06-08 |
| 1336195593 | Cynthia Lee Elliott | Emergency Medicine | 13577 Feather Sound Drive, Suite 350, Clearwater, FL 33762 | 2006-05-26 |
| 1053363127 | Bradley Nine | Emergency Medicine | 2339 Gulf To Bay Blvd, Clearwater, FL 33765-4102 | 2006-05-17 |
| 1538144191 | Stephen Mark Mitchell | Emergency Medicine | 18167 Us Highway 19 N Suite 285, Clearwater, FL 33764-3528 | 2005-12-07 |
| 1629062914 | Gregory Scott Smith | Emergency Medicine | Morton Plant Hospital - Emergency Department, 300 Pinellas St, Clearwater, FL 33756 | 2005-09-01 |
| 1184239949 | Kyle Harden | Emergency Medicine | 300 Pinellas St, Clearwater, FL 33756-3892 | 2020-09-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.