DR. JACK JACOB (NPI# 1255482063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255482063 |
Entity Type | Individual |
Full Name | DR. JACK JACOB |
Credential | M.D. |
Practice Address |
3525 Prytania Street Suite 206 New Orleans LA 70115 |
Mailing Address |
3600 Prytania St Suite 35 New Orleans LA 70115-3628 |
Practice Telephone | 5048978281 |
Practice Fax Number | 5048975604 |
Mailing Telephone | 5048977197 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2019-03-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 011071 | LA | Allopathic & Osteopathic Physicians |
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
011071 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1943479 | 05 | |
LA | 1133191 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649659590 | Jack Jacob | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2015-05-26 |
1437111093 | Jack Jacob | Pediatrics | 3340 Providence Dr, Suite 366, Anchorage, AK 99508-4616 | 2006-04-06 |
Street Address |
3525 PRYTANIA STREET SUITE 206 |
City | NEW ORLEANS |
State | LA |
Zip Code | 70115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912046277 | Stephen W Hales Md Apmc Dba Hales Pediatrics | Preferred Provider Organization | 3525 Prytania Street, Suite 602, New Orleans, LA 70115-8141 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
Find all providers in zip 70115 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508009978 | Joia Adele Crear Md LLC | Obstetrics & Gynecology | 170 Broadway St, Suite, New Orleans, LA 70118-6709 | 2009-04-14 |
1861652570 | Laurephile Desrosiers | Obstetrics & Gynecology | 4429 Clara St, New Orleans, LA 70115-6902 | 2008-06-16 |
1457537938 | Washington G. B. Bryan Ltd | Obstetrics & Gynecology | 3720 Prytania St, New Orleans, LA 70115-3733 | 2008-01-15 |
1700842564 | Washington G. B. Bryan Sr. | Obstetrics & Gynecology | 3720 Prytania St, New Orleans, LA 70115-3733 | 2006-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659881720 | Myron E Moorehead Md Apmc | Obstetrics & Gynecology | 200 W Esplanade Ave Ste 311, Kenner, LA 70065-2474 | 2017-10-03 |
1669722930 | Frank Jack George | Obstetrics & Gynecology | 129 Rue Les Bois, Madisonville, LA 70447 | 2012-09-14 |
1548549868 | L. Weather, Md Apc | Obstetrics & Gynecology | 2120 Bert Kouns Loop Ste C, Suite C, Shreveport, LA 71118-3351 | 2011-08-04 |
1699069674 | Joseph Wayne Smith | Obstetrics & Gynecology | 2761 Point Dr, Monroe, LA 71201-2435 | 2011-06-07 |
1184838310 | Fertilityanswers, LLC | Obstetrics & Gynecology | 206 E Farrel Rd, Lafayette, LA 70508-7104 | 2007-05-09 |
1083747265 | Karen F. Miller | Obstetrics & Gynecology | 10101 Siegen Ln, Suite 3b, Baton Rouge, LA 70810-4982 | 2007-03-14 |
1639201254 | Philip Hindelang | Obstetrics & Gynecology | Louisiana State University, Infirmary Road, Baton Rouge, LA 70803-0001 | 2007-03-09 |
1023151198 | James Gordon Gengelbach | Obstetrics & Gynecology | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2007-02-15 |
1396897062 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15778 Medical Arts Plaza, Hammond, LA 70403 | 2007-01-16 |
1902973092 | Lee Joseph Monlezun Jr. | Obstetrics & Gynecology | 801 W Bayon Pines Drive, Lake Charles, LA 70601 | 2006-11-30 |
Find all providers with the same taxonomy |
City | NEW ORLEANS |
Zip Code | 70115 |
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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.