DR. WILLIAM MATTHEW JACOBS (NPI# 1265882260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265882260 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM MATTHEW JACOBS |
| Credential | D.O. |
| Practice Address |
1000 Harrington St Mount Clemens MI 48043-2920 |
| Practice Telephone | 5864938000 |
| Mailing Telephone | 5864938000 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101022427 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912323361 | William Jacobs | Massage Therapist | 13433 Ne 20th St Ste D, Bellevue, WA 98005-2024 | 2014-03-10 |
| 1356428585 | William Anderson Jacobs | Emergency Medicine | 3185 Highway 17, Green Cove Springs, FL 32043-9371 | 2006-11-01 |
| 1962587287 | William M. Jacobs | Pediatrics | 8405 E. Baseline Rd., Suite 107, Mesa, AZ 85209 | 2006-10-26 |
| 1417037375 | William Charles Jacobs | Registered Nurse | 816 8th St Nw, Puyallup, WA 98371-4129 | 2006-10-16 |
| 1619918430 | William Jacobs | Counselor | 1127 Alameda Blvd Nw Ste C, Albuquerque, NM 87114-1240 | 2006-06-10 |
| 1497746788 | William Jacobs | Dentist | 84 Rose Ave, Westbury, NY 11590-1028 | 2005-11-04 |
| 1467440966 | William Louis Jacobs | Chiropractor | 658 W Algonquin Rd, Des Plaines, IL 60016-5760 | 2005-10-10 |
| 1174528384 | William Carlisle Jacobs | Internal Medicine | 5669 Peachtree Dunwoody Rd Ne, Suite 315, Atlanta, GA 30342-1786 | 2005-06-15 |
| 1639317308 | William Carl Jacobs Jr. | Pathology | 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 | 2009-02-03 |
| 1114171154 | William Scott Jacobs | Nurse Practitioner | 5005 North Piedras St., El Paso, TX 79920-5001 | 2008-11-04 |
| Street Address |
1000 HARRINGTON ST |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336335 | Richard L Reece Jr. | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2005-06-16 |
| 1033710116 | Mclaren Macomb | Rehabilitation Unit | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-04 |
| 1477154060 | Michael Dennie | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-11-02 |
| 1144828088 | Micayla Wehby | Nurse Practitioner | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-10-13 |
| 1326650516 | Dawn Miller | Social Worker | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-19 |
| 1437760246 | Sandeep Kaur | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-14 |
| 1538779475 | Kirandeep Sehmi | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-08-05 |
| 1669080172 | Anisha Tailor | Internal Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-21 |
| 1518575448 | Duncan George Innes | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1851909790 | John Murray | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1831572619 | Cody Becksvoort | Family Medicine | 374 Harrington St, Mount Clemens, MI 48043-2927 | 2015-06-30 |
| 1386865228 | Gladstone A. Payton, D.o.,pc | Family Medicine | 247 Northbound Gratiot Ave, Mount Clemens, MI 48043-5746 | 2007-05-01 |
| 1184617854 | Gladstone Anthony Payton Sr. | Family Medicine | 247 N Gratiot Ave, Mount Clemens, MI 48043-5746 | 2005-08-26 |
| 1518575448 | Duncan George Innes | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1851909790 | John Murray | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2020-07-16 |
| 1861988602 | Elizabeth Harris Sargent | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-05 |
| 1992291900 | George Ibrahim Fakhouri | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1265928113 | Taylor Rae Roach | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2018-07-03 |
| 1710419783 | William Palmer | Family Medicine | 1000 Harrington St, Mount Clemens, MI 48043-2920 | 2017-03-29 |
| Find all providers in MOUNT CLEMENS | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
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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.