LALITHA JACOB MD INC (NPI# 1295843878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295843878 |
| Entity Type | Organization |
| Organization Name | LALITHA JACOB MD INC |
| Practice Address |
6229 66th St N Pinellas Park FL 33781-5025 |
| Practice Telephone | 7275281888 |
| Practice Fax Number | 7275280586 |
| Mailing Telephone | 7275281888 |
| Mailing Fax Number | 7275280586 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | LALITHA E JACOB (OWNER) |
| Authorized Official Telephone | 7275281888 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME62238 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
6229 66TH ST N |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33781-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168990 | Hossam Ibrahim | Internal Medicine | 6229 66th St N, Pinellas Park, FL 33781-5025 | 2005-10-19 |
| 1700334612 | Samantha Sugarman | Nurse Practitioner | 6229 66th St N, Pinellas Park, FL 33781-5025 | 2016-09-20 |
| 1427114735 | Venkata G. Budharaju | Internal Medicine | 6229 66th St N, Pinellas Park, FL 33781-5025 | 2006-12-29 |
| 1144338724 | Lalitha E Jacob | Psychiatry & Neurology | 6229 66th St N, Pinellas Park, FL 33781-5025 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554134 | Tanthia Chanel Delgado | Social Worker | Sequel Care of Florida, 3491 Gandy Blvd, Pinellas Park, FL 33781 | 2020-06-26 |
| 1932722139 | Sunrise Retirement Home LLC | Assisted Living Facility | 4201 70th Ave North, Pinellas Park, FL 33781 | 2020-05-21 |
| 1790319119 | Third Phase Medical, LLC Dba Physical Therapy Now, Pinellas Park | Physical Medicine & Rehabilitation | 6661 49th Street North, Pinellas Park, FL 33781 | 2020-02-25 |
| 1275166621 | Michael Palon | Chiropractor | 6615 49th St N, Pinellas Park, FL 33781 | 2020-02-13 |
| 1679080790 | Hyde Psychological Services LLC | Psychologist | 8130 66th St. N, Suite 10, Pinellas Park, FL 33781 | 2018-01-10 |
| 1184135964 | Susan Nmi Washam | Counselor | 3491 Gandy Blvd, Suite 201, Pinelias Park, FL 33781 | 2017-10-19 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1306278809 | Select Medical Products | Durable Medical Equipment & Medical Supplies | 6531 47th Street North, Pinellas Park, FL 33781 | 2013-08-07 |
| 1639515133 | Kabrena Michelle Williams | Behavioral Analyst | 5030 78th Ave N Ste 11, Pinellas Park, FL 33781 | 2013-05-11 |
| 1649614975 | Dennis Alexander Tenenboym | Podiatrist | 7800 66th St N Ste 207, Pinellas Park, FL 33781 | 2013-04-17 |
| Find all providers in zip 33781 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144338724 | Lalitha E Jacob | Psychiatry & Neurology | 6229 66th St N, Pinellas Park, FL 33781-5025 | 2006-08-25 |
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|---|---|---|---|---|
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| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | PINELLAS PARK |
| Zip Code | 33781 |
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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.