DR. ERIC J JACOBSON (NPI# 1336266170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336266170 |
| Entity Type | Individual |
| Full Name | DR. ERIC J JACOBSON |
| Credential | M.D. |
| Practice Address |
7149 Blacksheep Run Fort Campbell KY 42223-5111 |
| Practice Telephone | 2532008771 |
| Mailing Telephone | 2532008771 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD0000054851 | TN | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 0101241377 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1477699692 | Eric Jacobson | Physical Medicine & Rehabilitation | 5822 Broadway, Bronx, NY 10463-2454 | 2007-01-29 |
| 1962594333 | Eric Jacobson | Art Therapist | 7 Windsor Pl, Brooklyn, NY 11215-5610 | 2006-09-29 |
| 1093759151 | Eric Dudley Jacobson | Radiology | 809 West Stetson Avenue Suite B, Apex Radiology Medical Group, Inc, Hemet, CA 92543 | 2006-06-16 |
| 1932691862 | Eric Scott Jacobson | Family Medicine | 725 Hamline St, Grand Forks, ND 58203-2819 | 2018-06-06 |
| 1205284098 | Eric Stefan Jacobson | Dentist | 1508 Oxford Dr, Georgetown, KY 40324-9266 | 2016-06-02 |
| 1043617434 | Eric K Jacobson | Physician Assistant | 390 River Street, Springfield, VT 05156-2226 | 2014-12-01 |
| 1841332715 | Eric Jacobson | Psychologist | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2007-02-13 |
| 1861530198 | Eric S. Jacobson | Pathology | 19300 Sw 65th Ave, Laboratory, Tualatin, OR 97062-7706 | 2007-02-01 |
| 1497762397 | Eric M Jacobson | Psychiatry & Neurology | 23625 Holman Hwy, Monterey, CA 93940-5902 | 2006-08-02 |
| Street Address |
7149 BLACKSHEEP RUN |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264503 | Andrew Porter | Military Health Care Provider | 7149 Blacksheep Run, Fort Campbell, KY 42223-5111 | 2020-08-04 |
| 1073721734 | Blanchfield Army Community Hospital | Clinic/Center | 7149 Blacksheep Run, Fort Campbell, KY 42223-5318 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1912153370 | Matthew Barret Curnutte | Emergency Medicine | 6106 Tennessee Ave, Fort Campbell, KY 37043 | 2008-08-15 |
| 1093911885 | Derek Mikel Carlson | Emergency Medicine | 7277 Nightstalker Way, Fort Campbell, KY 42223-5151 | 2007-06-27 |
| 1548210503 | Timothy S Talbot | Emergency Medicine | Nightstalker Way, Regiment Aid Station Bldg 7265, Fort Campbell, KY 42223-0596 | 2006-05-11 |
| 1154704500 | Kevin Lu | Emergency Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2015-07-02 |
| 1184007635 | Frank Thomas Dicker | Emergency Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2015-07-01 |
| 1154747657 | Derek Douglas | Emergency Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-03-10 |
| 1013332881 | Nicholas Weiss | Emergency Medicine | 650 Joel Dr, Fort Campbell, KY 42223 | 2014-03-03 |
| 1861835845 | Joshua E Lefler | Emergency Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2013-04-09 |
| 1336487834 | Stephen Nicolas Dunay | Emergency Medicine | Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 | 2013-01-18 |
| 1255693180 | Christian G Jensen | Emergency Medicine | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2012-06-15 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
Please comment or provide details below to improve the information on DR. ERIC J JACOBSON.
| 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.