DR. EDWARD JACOBSON (NPI# 1336208651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336208651 |
| Entity Type | Individual |
| Full Name | DR. EDWARD JACOBSON |
| Credential | M.D. |
| Practice Address |
1 Perryridge Rd Greenwich CT 06830-4607 |
| Practice Telephone | 2038698353 |
| Practice Fax Number | 2038694004 |
| Mailing Telephone | 2038698353 |
| Mailing Fax Number | 2038694004 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 22707 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS PROVIDER NUMBE | 010022707CT02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871659060 | Edward Charles Jacobson I | Neuromusculoskeletal Medicine & OMM | 5635 1st Ave S, St Petersburg, FL 33707-1703 | 2006-12-29 |
| 1013984319 | Edward E Jacobson | Obstetrics & Gynecology | 1111 N 6th St, Longview, TX 75601-5537 | 2006-03-06 |
| 1346214665 | Edward L Jacobson | Family Medicine | 961 Spring Creek Rd, Galen Medical Group, Chattanooga, TN 37412 | 2006-02-14 |
| Street Address |
1 PERRYRIDGE RD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114945623 | Maureen K Steele | Internal Medicine | 1 Perryridge Rd, Greenwich, CT 06830-4648 | 2006-07-17 |
| 1861945313 | Bio Reference Laboratories, Inc. | Clinical Medical Laboratory | 1 Perryridge Rd, Greenwich, CT 06830-4648 | 2016-08-02 |
| 1023335064 | Richard C Connors Md PC | Dermatology | 1 Perryridge Rd, Suite 2, Greenwich, CT 06830-4648 | 2010-04-30 |
| 1497935886 | Lvri | Obstetrics & Gynecology | 1 Perryridge Rd, Greenwich, CT 06830-4607 | 2007-11-14 |
| 1336328384 | Donna J Hagberg, Md., LLC | Specialist | 1 Perryridge Rd, Greenwich, CT 06830-4607 | 2007-10-26 |
| 1043409667 | Leila J. Garrett | Obstetrics & Gynecology | 1 Perryridge Rd, Greenwich, CT 06830-4607 | 2007-10-19 |
| 1629266804 | Greenwich Gynecology LLC | Obstetrics & Gynecology | 1 Perryridge Rd, Greenwich, CT 06830-4607 | 2007-10-12 |
| 1538209556 | Richard Charles Connors | Dermatology | 1 Perryridge Rd, Suite 2, Greenwich, CT 06830-4607 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457809527 | Mobile Care Solutions PC | Specialist | 67 Holly Hill Ln Ste 102, Greenwich, CT 06830-6072 | 2016-09-16 |
| 1952770240 | Plastic Surgery Practice At Greenwich PC | Specialist | 44 Amogerone Crossway #8151, Greenwich, CT 06830 | 2015-09-17 |
| 1225373772 | Barbara Ann Narissi | Specialist | 5 Essex Rd, Greenwich, CT 06831-4113 | 2012-12-10 |
| 1356685119 | Celine Marie Stahl | Specialist | 84 Pemberwick Rd, Unit A, Greenwich, CT 06831-5044 | 2012-11-18 |
| 1518219278 | Kerri Beth Kapper | Specialist | 491 Herrington Hill Rd, Greenwich, NY 12834-5812 | 2012-10-04 |
| 1982967436 | Luisa Cristina Pellegrino | Specialist | 73 Bowman Dr, Greenwich, CT 06831-3238 | 2012-06-20 |
| 1316049299 | Women's Integrated Network | Specialist | 1 American Lane, Terrace Level, Greenwich, CT 06831 | 2006-09-02 |
| 1508971318 | Alice H Rusk | Specialist | 55 Holly Hill Ln Ste 240, Greenwich, CT 06830-6074 | 2006-08-20 |
| 1699718114 | Joel Myron Blumberg | Specialist | 55 Holly Hill Ln, Suite 210, Greenwich, CT 06830-6074 | 2006-06-13 |
| 1336114222 | Sheridan Wear Culvahouse | Specialist | 159 W Putnam Ave, Greenwich, CT 06830-5329 | 2006-02-22 |
| Find all providers in GREENWICH | ||||
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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.