STEVEN R JACOBSON (NPI# 1104899830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104899830 |
| Entity Type | Individual |
| Full Name | STEVEN R JACOBSON |
| Credential | M.D. |
| Practice Address |
2518 Superior Dr Nw Ste 104 Rochester MN 55901-1997 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0001 |
| Practice Telephone | 5073981900 |
| Practice Fax Number | 5077222611 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2018-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 43676 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 699480600 | 05 | |
| MN | RAILROAD MEDICARE | 020050087 | 01 |
| WI | 35351400 | 05 | |
| IA | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477951143 | Steven Michael Jacobson | Respiratory Therapist, Registered | 113 4th Ave., Shell Lake, WI 54871 | 2014-12-12 |
| 1295080059 | Steven Jacobson | Chiropractor | 1395 W Sunrise Blvd, Suite 1, Fort Lauderdale, FL 33311-7076 | 2012-07-18 |
| 1265760698 | Steven Eugene Jacobson | Dentist | 44550 Village Ct, Suite 102, Palm Desert, CA 92260-3817 | 2009-11-23 |
| 1447483599 | Steven Dean Jacobson | Psychologist | 18th Medical Group, Apo, AP 96368-5142 | 2009-08-24 |
| 1497822357 | Steven J. Jacobson | Ophthalmology | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2006-11-29 |
| 1235219619 | Steven Eric Jacobson | Social Worker | 1512 Scripture St, Denton, TX 76201-3916 | 2006-10-17 |
| 1326013103 | Steven Jacobson | Family Medicine | 401 2nd St, Snohomish, WA 98290-3008 | 2006-02-23 |
| 1568444065 | Steven Jacobson | Emergency Medicine | 707 S Mills St, Madison, WI 53715-1849 | 2005-11-18 |
| 1558369702 | Steven D Jacobson | Internal Medicine | 3009 N Ballas Rd, Ste A 240, Saint Louis, MO 63131-2322 | 2005-07-12 |
| Street Address |
2518 SUPERIOR DR NW STE 104 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083984801 | Paul G. Newton | Hearing Instrument Specialist | 2518 Superior Dr Nw Ste 104, Rochester, MN 55901-1997 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| 1972731156 | Ashley Amalfi | Plastic Surgery | 973 East Ave Ste 100, Rochester, NY 14607-2216 | 2009-06-26 |
| 1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
| 1295909141 | Donald J Capuano | Plastic Surgery | 2640 Ridgeway Ave, Rochester, NY 14626-4209 | 2008-04-22 |
| 1215947908 | Marie A Frankel | Plastic Surgery | 285 Idlewood Rd, Rochester, NY 14618-3955 | 2006-08-08 |
| 1043259443 | William James Koenig | Plastic Surgery | 973 East Ave, Rochester, NY 14607-2216 | 2006-06-04 |
| 1326092107 | Stephen Evangelisti | Plastic Surgery | 1901 Lac De Ville Blvd, Rochester, NY 14618-5627 | 2006-05-19 |
| 1063464717 | Plastic Cosmetic and Restorative Surgery Pllc | Plastic Surgery | 2640 Ridgeway Avenue, Rochester, NY 14626 | 2006-05-17 |
| 1194721282 | David H Refermat | Plastic Surgery | 360 Linden Oaks Dr., Ste 310, Rochester, NY 14625-2814 | 2005-06-22 |
| 1770100133 | Austin D Chen | Plastic Surgery | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-07-01 |
| Find all providers in ROCHESTER | ||||
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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.