DR. RICHARD MARC JACOBS (NPI# 1114955564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114955564 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MARC JACOBS |
| Credential | D.P.M. |
| Practice Address |
4511 Knox Rd Suite 103 College Park MD 20740-3380 |
| Practice Telephone | 3017790355 |
| Practice Fax Number | 3019277036 |
| Mailing Telephone | 3017790355 |
| Mailing Fax Number | 3019277036 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
952 | MD | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
952 | MD | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC | 32211001 | 01 | |
| MAMSI | 39201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225298268 | Richard Douglas Jacobs Jr. | Internal Medicine | 4176 W Jasper Dr, Chandler, AZ 85226-7226 | 2008-06-12 |
| 1336367655 | Richard Samuel Jacobs | Dentist | 3716 Philadelphia Pike, Claymont, DE 19703-3412 | 2007-04-23 |
| 1932230901 | Richard S Jacobs | Pharmacist | 16493 Se 59th St, Bellevue, WA 98006-5549 | 2007-03-08 |
| 1912033663 | Richard Terril Jacobs | Family Medicine | 1351 Fowler St, Richland, WA 99352-4714 | 2007-02-26 |
| 1255444238 | Richard Jacobs | Chiropractor | 215 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4465 | 2006-08-16 |
| 1508169780 | Richard John Jacobs | Social Worker | 164 Hawley St, Binghamton, NY 13901-4017 | 2010-12-10 |
| 1851544290 | Richard Dean Jacobs | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-29 |
| 1447457171 | Richard R Jacobs | Radiology | 2801 Clearwater Ct, Joplin, MO 64801-8239 | 2007-06-27 |
| 1790800639 | Richard P Jacobs | Radiology | 200 West St, Waltham, MA 02451-1121 | 2007-03-20 |
| 1619012218 | Richard A Jacobs | Dentist | 1423 Chapel St, New Haven, CT 06511-4411 | 2007-02-21 |
| Street Address |
4511 KNOX RD SUITE 103 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043399439 | Foot Care Center of College Park, Chartered | Clinic/Center | 4511 Knox Rd, Suite 103, College Park, MD 20740-3380 | 2006-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023000 | Podiatry Associates, P.a. | Podiatrist | 71 Shipping Pl, Dundalk, MD 21222-4320 | 2020-08-13 |
| 1851827042 | Joyce Podiatry L.L.C. | Podiatrist | 826 Washington Rd Ste 206, Westminster, MD 21157-5780 | 2017-05-07 |
| 1750751988 | Blessed Soles Podiatry. LLC | Podiatrist | 23 Clovelly St Apt 4105, Pikesville, MD 21208-3776 | 2015-09-30 |
| 1154714822 | Crosskeys Medical Center, LLC | Podiatrist | 1 Village Sq Ste 165, Baltimore, MD 21210-1603 | 2015-03-05 |
| 1871741355 | Royden J Stanford | Podiatrist | 22325 Greenview Pkwy Unit 1a, Great Mills, MD 20634-4405 | 2008-09-08 |
| 1396894598 | Thuy-linh Duy Nguyen | Podiatrist | 3334 Paper Mill Rd, Phoenix, MD 21131-1419 | 2007-01-09 |
| 1548343437 | Arnold R Forman | Podiatrist | 1123 Merritt Blvd, Dundalk, MD 21222-1438 | 2006-10-23 |
| 1467562389 | Mark William Rothstein | Podiatrist | 6507 Edenvale Rd, Baltimore, MD 21209-3303 | 2006-08-30 |
| 1235156290 | Eliezer Trybuch Dpm,llc | Podiatrist | 12121 New Hampshire Avenue, Silver Spring, MD 20904-2868 | 2006-07-16 |
| 1205861564 | Michael Edward Pearlman | Podiatrist | 12103 Old Line Ctr, Waldorf, MD 20602-2552 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on DR. RICHARD MARC JACOBS.
| 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.