SINDHU SONY JACOB


Address: 1920 Don Wickham Dr, Suite 325, Clermont, FL 34711-1918
Phone: 3525368644

SINDHU SONY JACOB (NPI# 1265540827) 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) 1265540827
Entity Type Individual
Full Name SINDHU SONY JACOB
Credential M.D.
Practice Address 1920 Don Wickham Dr
Suite 325
Clermont
FL 34711-1918
Practice Telephone 3525368644
Practice Fax Number 3525368645
Mailing Telephone 3525368644
Mailing Fax Number 3525368645
Enumeration Date 2006-08-25
Last Update Date 2012-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
ME111323 FL Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
01061003A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CARESOURCE MEDICAID 351904269205 01
HEALTHLINK 718423 01
IN 200528700X 05
CARESOURCE MEDICAID 351904269197 01
IN RAILROAD MEDICARE P00813276 01
IL ILLINOIS PUBLIC AID 1967884228 01
IN MOLINA HEALTHCARE MCAID 200528700 01
ANTHEM 000000372415 01
IN 200528700G 05
CIGNA 4590933 01
RAILROAD MCARE PALAMETTO P00315176 01
IN 200528700T 05
IN 200528700Y 05
CARESOURCE MEDICAID 351904269198 01
AETNA 3802033 01

Other Providers SINDHU JACOB

NPI Name Taxonomy Address Enumeration
1639256175 Sindhu Saji Jacob Physical Medicine & Rehabilitation 4921 Parkview Pl, Saint Louis, MO 63110-1032 2006-11-01

Office Location

Street Address 1920 DON WICKHAM DR
SUITE 325
City CLERMONT
State FL
Zip Code 34711-1918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326044496 Jeffrey W Kanski Specialist 1920 Don Wickham Dr, Suite 130, Clermont, FL 34711-1918 2005-06-23
1396190955 Eracare Physicians LLC Internal Medicine 1920 Don Wickham Dr, Suite 335, Clermont, FL 34711-1918 2016-05-02
1518370147 Lake America Family Physicians LLC Family Medicine 1920 Don Wickham Dr, Suite 335, Clermont, FL 34711-1918 2014-06-11
1205124385 Florida Cancer Specialists & Research Institute, LLC Internal Medicine 1920 Don Wickham Dr, Suite 100, Clermont, FL 34711-1918 2011-07-11
1255582805 Manuel Lazaro Herrera Obstetrics & Gynecology 1920 Don Wickham Dr, Suite 325, Clermont, FL 34711-1918 2008-10-01
1144488628 Leavitt Medical Associates of Florida Inc Dermatology 1920 Don Wickham Dr, Suite 330, Clermont, FL 34711-1918 2008-05-30
1780841718 Physician Associates LLC Internal Medicine 1920 Don Wickham Dr, Suite 100 & 105, Clermont, FL 34711-1918 2008-05-19
1205865433 Inter Community Cancer Institute LLC Radiology 1920 Don Wickham Dr, Suite 130, Clermont, FL 34711-1918 2006-07-01
1801884978 Lawrence J Campo Internal Medicine 1920 Don Wickham Dr, Suite 140, Clermont, FL 34711-1918 2005-10-12
1669465274 Hal M Jacobson Radiology 1920 Don Wickham Dr, Suite130, Clermont, FL 34711-1918 2005-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316546344 Latricia Richards-smith Nurse Practitioner 3301 Hancock Rd, Clermont, FL 34711 2020-10-21
1073130399 Marissa Johnston Behavioral Analyst 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 2020-07-02
1649839432 New Foundations Aba Therapy, LLC Community/Behavioral Health 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 2019-06-06
1275006504 Innovative Medical Management Solutions LLC Skilled Nursing Facility 1775 Hooks Street, Clermont, FL 34711 2019-01-09
1851867766 Chantal P Baptiste Nurse Practitioner 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 2018-10-17
1346739539 Jennifer Brennan Behavior Technician 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 2018-05-03
1689163966 Chelsea Strickland Physical Therapy Assistant 10037 Stockbridge St, Clermont, FL 34711 2018-05-02
1316448921 Dana Renee Ottalagano Counselor 1635 E Highway 50 Ste 204, Clermont, FL 34711 2018-02-28
1306353842 Center of Change Inc. General Practice 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 2018-01-05
1003328642 Clermont Radiology LLC Clinic/Center 3725 South Highway 27, Suite 104, Clermont, FL 34711 2017-11-03
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265615124 South Lake Hospital Inc Internal Medicine 1900 Don Wickham Dr, Clermont, FL 34711-1979 2007-12-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922612886 The Sugar Doctors LLC Internal Medicine 423 Highway 466 Apt 8206, Lady Lake, FL 32159-6307 2020-09-08
1144848292 Olga Kaliebe Md LLC Internal Medicine 2823 W Fountain Blvd, Tampa, FL 33609-4011 2020-07-06
1063037810 Endo Now LLC Internal Medicine 5460 Village Drive,viera, Rockledge, FL 32955 2020-06-08
1346873015 Chrysalis Health of Florida P.a. Internal Medicine 382 Ne 191st St # 52404, Miami, FL 33179-3899 2020-02-20
1598300741 Center for Integrative & Functional Endocrinology LLC Internal Medicine 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 2019-11-12
1346801834 Medical Centers of Miami LLC Internal Medicine 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 2019-06-25
1013402783 Thyroid Diabetes Endocrinology and Wellness Inc Internal Medicine 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 2018-06-26
1447750773 Smh Physician Services Inc Internal Medicine 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 2018-02-13
1376087593 Dar Endocrinology Services LLC Internal Medicine 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 2016-12-07
1073064127 Tampa General Medical Group Inc Internal Medicine 10740 Palm River Road, Ste 360, Tampa, FL 33619 2016-10-24
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Competitor

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City CLERMONT
Zip Code 34711

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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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