DR. DAVID HAROLD JACOBS (NPI# 1184788044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184788044 |
| Entity Type | Individual |
| Full Name | DR. DAVID HAROLD JACOBS |
| Credential | M.D. |
| Practice Address |
1850 Town Center Pkwy Reston VA 20190-3219 |
| Mailing Address |
20010 Century Blvd Suite 200 Germantown MD 20874-1115 |
| Practice Telephone | 7036899037 |
| Mailing Telephone | 2406862300 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD33417 | DC | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | D0060096 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952701468 | David Jacobs | Internal Medicine | 46 Timberhill Dr, Franklin Park, NJ 08823-1782 | 2014-09-03 |
| 1275944910 | David Robert Jacobs | Home Health Aide | 58 Juniper Cir, Florissant, CO 80816-9008 | 2014-05-15 |
| 1811225394 | David T Jacobs | Pediatrics | 24 Maple Ave Ste 2, Rockville Centre, NY 11570-4259 | 2009-11-22 |
| 1578753117 | David Marc Jacobs | Psychologist | 4476 Market St, Ventura, CA 93003-7775 | 2007-07-30 |
| 1386785988 | David M Jacobs | Chiropractor | 22 Wyckoff Ave, Waldwick, NJ 07463-1718 | 2007-02-08 |
| 1669531216 | David Jacobs | Urology | 1050 Lincoln Way, Mckeesport, PA 15132 | 2006-12-08 |
| 1205846342 | David Jay Jacobs | Physical Medicine & Rehabilitation | 554 White Oak Ridge Rd, Short Hills, NJ 07078-1338 | 2006-08-09 |
| 1609898154 | David Alan Jacobs | Counselor | 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900 | 2006-07-24 |
| 1982668943 | David C Jacobs | Specialist/Technologist | 3605 Misty Morning Cir, Lexington, KY 40509-2065 | 2006-04-14 |
| 1154302537 | David Samuel Jacobs | Radiology | 300 Westage Business Ctr Dr, Suite 280, Fishkill, NY 12524-2260 | 2005-11-11 |
| Street Address |
1850 TOWN CENTER PKWY |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646420 | Robert A. Shor | Internal Medicine | 1850 Town Center Pkwy, Ste 550, Reston, VA 20190-3219 | 2005-06-01 |
| 1295357507 | Karina Manicka | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2020-05-08 |
| 1134777964 | Sharon Kim | Nurse Practitioner | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2019-08-26 |
| 1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
| 1437656014 | Rithika Mohan | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190 | 2018-04-10 |
| 1447753223 | Cara Elizabeth Butler | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-03-17 |
| 1669974101 | Rachel Ellenbogen | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2018-02-28 |
| 1669972626 | Meghan Squier | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-02-16 |
| 1316470198 | Dana Alsaadi | Internal Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3298 | 2017-04-07 |
| 1548617863 | Reston Hospital Center, LLC | Radiologic Technologist | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2016-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
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| 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 |
|---|---|---|---|---|
| 1154575157 | Dora Cecilia Rioja-mazza | Emergency Medicine | 1850 Hospital Center, Reston Hospital Center, Reston, VA 20190 | 2008-11-05 |
| 1689847287 | Samiur Rahman Khandker | Emergency Medicine | 12025 New Dominion Pkwy Apt 208, Reston, VA 20190-6265 | 2008-04-04 |
| 1407931850 | Bestpractices, Inc | Emergency Medicine | 11901 Baron Cameron Ave Ste A, Reston, VA 20190-5893 | 2006-10-26 |
| 1114934650 | Mark E Franke | Emergency Medicine | 1488 Northpoint Village Ctr, Reston, VA 20194-1190 | 2006-08-01 |
| 1861892879 | Emergency Medicine Associates | Emergency Medicine | 1850 Town Center Parkway, Reston Hospital Center, Reston, VA 20190 | 2014-08-27 |
| 1225471675 | Vidya Reddy Raju | Emergency Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2013-04-15 |
| 1194168286 | Michael Stoker | Emergency Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2013-04-09 |
| 1306103916 | Siew Mei Lee | Emergency Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2012-04-19 |
| 1134410020 | Saad Amin | Emergency Medicine | 1850 Town Center Pkwy, Dept of Emergency Medicine, Reston, VA 20190-3219 | 2011-04-26 |
| 1942469465 | Todd Steven Larson | Emergency Medicine | 1850 Town Center Parkway, Reston Hospital Center, Reston, VA 20190 | 2008-06-09 |
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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.