DR. MARK D. JACOBS (NPI# 1124013883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013883 |
| Entity Type | Individual |
| Full Name | DR. MARK D. JACOBS |
| Credential | MD |
| Practice Address |
100 2nd Ave Needham MA 02494-2809 |
| Practice Telephone | 7817264800 |
| Mailing Telephone | 7817264800 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2016-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 242029 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICAL LICENSE | 242029 | 01 |
| MA | CIGNA | 9239986 | 01 |
| MA | AETNA | 9971374 | 01 |
| MA | TUFTS HEALTH PLAN | 404478 | 01 |
| MA | HPHC | AA173484 | 01 |
| MA | 1124013883 | NPI | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598101289 | Mark Jacobs | Pharmacist | 736 Elm, Winnetka, IL 60093-2506 | 2013-05-21 |
| 1497889570 | Mark L Jacobs | Chiropractor | 24825 Northern Blvd, Little Neck, NY 11362-1280 | 2007-03-14 |
| 1346311560 | Mark S Jacobs | Dentist | 802 N Broadway, Melrose Park, IL 60160-3726 | 2006-11-10 |
| 1598770273 | Mark J Jacobs | Dentist | 16824 Newburgh Rd, Livonia, MI 48154-1600 | 2006-07-30 |
| 1457392466 | Mark Edward Jacobs | Optometrist | 507 Greenville Blvd Se, Greenville, NC 27858-6756 | 2006-06-09 |
| 1679533186 | Mark Matthew Jacobs | Obstetrics & Gynecology | 3553 Whipple Road, San Leandro, CA 94587-1507 | 2006-03-27 |
| 1487638409 | Mark I Jacobs | Internal Medicine | 73 Corporate Dr Ste 101, Portsmouth, NH 03801-2847 | 2005-12-02 |
| 1295737617 | Mark Steven Jacobs | Psychiatry & Neurology | 4888 Loop Central Dr, Suite 510, Houston, TX 77081-2214 | 2005-08-15 |
| 1124023809 | Mark A Jacobs | Optometrist | 3810 S Highway 27, Suite 1, Somerset, KY 42501-3073 | 2005-06-17 |
| 1073515201 | Mark A Jacobs | Obstetrics & Gynecology | 7580 Fannin St Ste 210, Houston, TX 77054-1939 | 2005-06-01 |
| Street Address |
100 2ND AVE |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02494-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862045 | Atrius Health, Inc. | Internal Medicine | 100 2nd Ave, Atrius Health - Needham, Needham, MA 02494-2809 | 2016-10-14 |
| 1962853903 | Paula Oconnor | Physician Assistant | 100 2nd Ave, Needham, MA 02494-2809 | 2016-06-30 |
| 1316108137 | Claire S Franks | Clinical Nurse Specialist | 100 2nd Ave, Beth Israel Deaconess Healthcare Upper Falls, Needham, MA 02494 | 2008-06-24 |
| 1104041151 | Judith Lillian Hershey | Nurse Practitioner | 100 2nd Ave, Needham, MA 02494-2809 | 2007-04-16 |
| 1487682944 | Erica Lynne Frank | Internal Medicine | 100 2nd Ave, Needham, MA 02494-2809 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604531 | Allison Nicole Lamb | Physical Therapist | 145 Rosemary St Ste K3, Needham Heights, MA 02494 | 2018-10-01 |
| 1386126324 | Judy R Heithmar | Social Worker | 237 Highland Avenue, Needham, MA 02494 | 2018-09-06 |
| 1215414032 | Sarah Moore-ede | Registered Nurse | 224 Hunnewell St, Needham Heights, MA 02494 | 2018-07-24 |
| 1336638857 | Kaitlin Kramer | Speech-Language Pathologist | 145 Rosemary St. Suite C, Children's Speech and Feeding Therapy, Inc., Needham, MA 02494 | 2018-05-10 |
| 1831687607 | Molly Alexandra Cleveland | Speech-Language Pathologist | Children's Speech and Feeding Therapy Inc., 145 Rosemary St. Suite C, Needham, MA 02494 | 2018-04-27 |
| 1851808364 | Sally Barbara Miller | Social Worker | 50 Cabot Street Suite 206, Plan of Massachusetts and Rhode Island, Needham, MA 02494 | 2018-01-05 |
| 1518406453 | Ddmdmd Dental Associates | Dentist | 32 Wexford St, Needham, MA 02494 | 2017-02-13 |
| 1508312745 | Brittany Lee Bernier | Social Worker | 687 Highland Avenue - 3rd Floor, Needham Heights, MA 02494 | 2016-08-28 |
| 1760839914 | Catherine Nasser | Counselor | 400 Hunnewell St, Suite 6r, Needham, MA 02494 | 2016-05-18 |
| 1104294248 | Shirley Huang | Speech-Language Pathologist | 160 Gould Street, Needham, MA 02494 | 2015-09-07 |
| Find all providers in zip 02494 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679993232 | Elenie Bartzokis Consulting, LLC | Internal Medicine | 243 Great Plain Ave, Needham, MA 02492-4104 | 2014-04-22 |
| 1104240985 | Jacqueline Hart | Internal Medicine | 151 Nehoiden St, Needham, MA 02492-1917 | 2014-02-13 |
| 1740417104 | Maura Ann Kelley | Internal Medicine | 15 Jarvis Cir, Needham, MA 02492-2016 | 2009-06-12 |
| 1639323223 | Aurora Hospitalist Services | Internal Medicine | 253 Greendale Ave, Needham, MA 02494-2026 | 2008-11-09 |
| 1558540179 | Richard Morris Gottlieb | Internal Medicine | 57 Dedham Ave, Needham, MA 02492 | 2007-10-31 |
| 1053501148 | John B Cadigan II | Internal Medicine | Caritas Norwood Hospital, Medical Staff Office, Needham, MA 02792 | 2007-07-26 |
| 1194868661 | Seth M Lewin | Internal Medicine | 115 Standish Rd, Needham, MA 02492-1117 | 2007-02-15 |
| 1780774968 | Craig T Basson | Internal Medicine | 60 Stonecrest Dr, Needham, MA 02492-2783 | 2006-10-16 |
| 1861594285 | Cathy C Tong | Internal Medicine | 57 Dedham Avenue, Beth Israel Deaconess Healthcare Dedham Avenue, Needham, MA 02492 | 2006-09-05 |
| 1184730012 | Gracia B Perez-lirio | Internal Medicine | 464 Hillside Avenue, Suite 302, Needham, MA 02494-1228 | 2006-08-22 |
| Find all providers in NEEDHAM | ||||
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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.