KENNETH LEE DINE JACOBS (NPI# 1285698670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285698670 |
| Entity Type | Individual |
| Full Name | KENNETH LEE DINE JACOBS |
| Credential | D.O. |
| Practice Address |
2615 E High St Springfield OH 45505-1412 |
| Mailing Address |
3131 Newmark Dr Ste 210 Miamisburg OH 45342-5400 |
| Practice Telephone | 9373250531 |
| Mailing Telephone | 9374388910 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.005854 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000017441 | 01 |
| OH | 0986116 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6147 State Route 122, Middletown, OH 450055201 | 5132613410 | |
| 1141 N Monroe Dr, Xenia, OH 453851619 | 9373522500 | |
| 8701 Old Troy Pike, Huber Heights, OH 454241066 | 9375583338 | |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 | |
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373958166 | |
| 405 W Grand Ave, Dayton, OH 454057538 | 9377233211 | |
| 100 Kettering Way, Franklin, OH 450051155 | 9374584700 | |
| 600 W Main St, Troy, OH 453733384 | 9379807010 | |
| 1997 Miamisburg Centerville Rd, Centerville, OH 454593811 | 9374016228 | |
| 450 Washington Jackson Rd Ste F, Eaton, OH 453208699 | 9374568376 | |
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730462524 | Kenneth G Jacobs | Social Worker | 6292 Gardner Rd, Altamont, NY 12009-5016 | 2011-09-28 |
| 1699271718 | Kenneth Walter Jacobs Jr. | Behavioral Analyst | 795 Folsom St, San Francisco, CA 94107-1243 | 2018-04-05 |
| 1194258418 | Kenneth Leon Michael Jacobs | Physical Therapist | 132 Salem Ct, Tallahassee, FL 32301-2810 | 2017-04-04 |
| 1225252810 | Kenneth Allen Jacobs | Pharmacist | 18500 Grand River Ave, Detroit, MI 48223-2319 | 2007-04-13 |
| 1417055518 | Kenneth Allan Jacobs | Obstetrics & Gynecology | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-09-20 |
| 1538175724 | Kenneth M Jacobs | Internal Medicine | 743 Jefferson Ave, Suite 303, Scranton, PA 18510-1635 | 2006-07-31 |
| 1700839032 | Kenneth Jacobs | Dentist | 8641 Wilshire Blvd, 315, Beverly Hills, CA 90211-2900 | 2006-05-18 |
| Street Address |
2615 E HIGH ST |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659841 | Hospital Services Medical Group of Clark County Inc | Internal Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2005-09-13 |
| 1932485398 | David Summers | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2011-10-31 |
| 1790060481 | Jennifer Lynn Day | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2011-10-13 |
| 1053695767 | Robert D Lovejoy | Nurse Anesthetist, Certified Registered | 2615 E High St, Springfield, OH 45505-1412 | 2011-09-30 |
| 1609159706 | Dawn Marie Sanders | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2011-09-25 |
| 1417276429 | Northstar Anesthesia of Ohio LLC | Anesthesiology | 2615 E High St, Springfield, OH 45505-1412 | 2010-06-01 |
| 1396067732 | Sound Inpatient Physicians of Ohio, LLC | Family Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2010-02-26 |
| 1932434875 | Musarat Chaudhry | Physician Assistant | 2615 E High St, Springfield, OH 45505-1412 | 2009-10-09 |
| 1942329560 | Tangi N. Pergram | Physical Therapist | 2615 E High St, Occupational Health & Medicine, Springfield, OH 45505-1412 | 2007-03-28 |
| 1982751244 | Shahid Bashir | Internal Medicine | 2615 E High St, Springfield, OH 45505-1412 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
| 1477081453 | Breeanna Murphy | Emergency Medicine | 701 N 1st St Ste D220, Springfield, IL 62702-3757 | 2017-06-02 |
| 1851822431 | Sean Murray | Emergency Medicine | 2121 S 4th St, Springfield, IL 62703-3449 | 2017-03-24 |
| 1285093393 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 1312 Boston Road, Springfield, MA 01119-1336 | 2016-02-17 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1134506488 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 430 Cooley St, Springfield, MA 01128-1180 | 2015-05-06 |
| 1669805016 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 200 Us Highway 22, Springfield, NJ 07081-3123 | 2013-08-20 |
| 1346582046 | Shannon Macritchie | Emergency Medicine | 3333 Riverbend Dr., Springfield, OR 97401 | 2013-03-20 |
| 1902156839 | Lindsey Michelle Krawczuk | Emergency Medicine | 3801 S. National Ave., Springfield, MO 65807 | 2012-09-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
Please comment or provide details below to improve the information on KENNETH LEE DINE JACOBS.
| 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.