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).
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 |
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639256175 | Sindhu Saji Jacob | Physical Medicine & Rehabilitation | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2006-11-01 |
Street Address |
1920 DON WICKHAM DR SUITE 325 |
City | CLERMONT |
State | FL |
Zip Code | 34711-1918 |
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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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 |
Find all providers in zip 34711 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265615124 | South Lake Hospital Inc | Internal Medicine | 1900 Don Wickham Dr, Clermont, FL 34711-1979 | 2007-12-13 |
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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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.