SUZANNE JACOB


Address: 2201 Macarthur Dr Ste 103, Waco, TX 76708-3159
Phone: 2543135300

SUZANNE JACOB (NPI# 1255867057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255867057
Entity Type Individual
Full Name SUZANNE JACOB
Credential MD
Practice Address 2201 Macarthur Dr Ste 103
Waco
TX 76708-3159
Mailing Address 1600 Providence Dr
Waco
TX 76707-2261
Practice Telephone 2543135300
Practice Fax Number 2543135399
Mailing Telephone 2543134200
Mailing Fax Number 2543134549
Enumeration Date 2017-05-11
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics S8578 TX Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program CA Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
11234 Anderson St, Loma Linda, CA 923542804 9095582828

Office Location

Street Address 2201 MACARTHUR DR STE 103
City WACO
State TX
Zip Code 76708-3159

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750340568 Matthew Brian Bierwirth Pediatrics 2201 Macarthur Dr Ste 103, Waco, TX 76708 2006-03-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144868613 Sarah Bogacz Behavior Technician 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 2019-12-16
1700358215 Albert Jacob Puente Specialist/Technologist 1101 North Q Ave, Clifton, TX 76708 2018-12-21
1437414810 Cenikor Foundation Substance Abuse Rehabilitation Facility 3015 Herring Avenue, Waco, TX 76708 2012-07-11
1922393610 Betty Hendricks Nurse Practitioner 4601 N 19th Street, Waco, TX 76708 2011-06-10
1023239498 Esc Iv, Lp Assisted Living Facility 3801 Martin Luther King Jr Bvd, Waco, TX 76708 2007-05-01
1952429367 Dod David Moore Dentist 10104 Saddle Creek Rd, Waco, TX 76708 2007-03-26
1851400295 H-e-b, Lp Clinical Medical Laboratory 3801 N 19th St, Waco, TX 76708 2006-08-30
1972527257 Meryl Burchardt Nurse Practitioner 2201 Macarthur, Suite 2200, Waco, TX 76708 2006-07-27
1669493292 Central Texas Anesthesiology Associates Inc Anesthesiology 3000 Herring, Waco, TX 76708 2006-07-21
1679507768 Russell L Mcclellan Radiology 3000 Herring Avenue, Waco, TX 76708 2006-07-11
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023067303 Mark A Lorenzen Pediatrics 301b Richland West Cir, Waco, TX 76712-7919 2006-05-06
1740246909 Sue E. Stanko Pediatrics 1201 Hewitt Dr Ste 204, Waco, TX 76712-8834 2006-04-25
1750340568 Matthew Brian Bierwirth Pediatrics 2201 Macarthur Dr Ste 103, Waco, TX 76708 2006-03-21
1720059272 Charles Edward Gamble Pediatrics 2201 Macarthur, Ste 103, Waco, TX 76708 2006-01-31
1689645236 Karen Cervenka Kemper Pediatrics 2201 Macarthur Dr, Suite 103, Waco, TX 76708-3161 2006-01-31
1346211893 Jacquelin Dawn Dewbre Pediatrics 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 2006-01-31
1649257429 Floyd Lee Barry Pediatrics 1911 Martin Luther King Blvd, Waco, TX 76704 2005-12-22
1962485516 William R Nesmith Pediatrics 601 W Hwy 6, Suite 102, Waco, TX 76710-5591 2005-11-28
1770566333 Stephen Chakmakjian Pediatrics 601 W State Highway 6, Suite 102, Waco, TX 76710-5591 2005-11-28
1861880080 Heart of Texas Community Health Center, Inc Pediatrics 1600 Providence Dr, Waco, TX 76707-2261 2014-12-23
Find all providers in WACO

Competitor

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City WACO
Zip Code 76708

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Dataset Information

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.

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