EDWARD L JACOBSON (NPI# 1346214665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346214665 |
| Entity Type | Individual |
| Full Name | EDWARD L JACOBSON |
| Credential | MD |
| Practice Address |
961 Spring Creek Rd Galen Medical Group Chattanooga TN 37412 |
| Mailing Address |
Po Box 1030 Galen Medical Group Chatt TN 37401 |
| Practice Telephone | 4238922221 |
| Practice Fax Number | 4234903407 |
| Mailing Telephone | 4238943725 |
| Mailing Fax Number | 4239549019 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28164 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3806302 | 05 |
| 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 |
| 1336208651 | Edward Jacobson | Specialist | 1 Perryridge Rd, Greenwich, CT 06830-4607 | 2006-12-06 |
| 1013984319 | Edward E Jacobson | Obstetrics & Gynecology | 1111 N 6th St, Longview, TX 75601-5537 | 2006-03-06 |
| Street Address |
961 SPRING CREEK RD GALEN MEDICAL GROUP |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619941119 | Monique Golding | Family Medicine | 961 Spring Creek Rd, Chattanooga Family Practice, Chattanooga, TN 37412-3909 | 2006-02-14 |
| 1396222568 | Katelyn Wilkinson Bales | Nurse Practitioner | 961 Spring Creek Rd, Chattanooga, TN 37412 | 2018-07-20 |
| 1922591064 | Donna G. Neves | Dietitian, Registered | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2018-06-13 |
| 1295157196 | Kathleen L Bowers | Nurse Practitioner | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2014-01-10 |
| 1801159363 | Dorinda Kay Harriss | Nurse Practitioner | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2012-06-20 |
| 1689906968 | Sarah E Snyder | Nurse Practitioner | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2010-02-11 |
| 1124132634 | Chattanooga Family Practice Associates, P.C. | Family Medicine | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-08-19 |
| 1710090972 | Hannah Marie Bujak | Family Medicine | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-08-15 |
| 1063525228 | Oliver Marko Bujak | Family Medicine | 961 Spring Creek Rd, Chattanooga, TN 37412-3909 | 2006-08-15 |
| 1760424949 | Parkridge East Specialty Associates LLC | Internal Medicine | 961 Spring Creek Rd, Suite 300, Chattanooga, TN 37412-3909 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1487080149 | Puckett Med Van LLC | Non-emergency Medical Transport (VAN) | 5603 Ringgold Road, East Ridge, TN 37412 | 2013-09-25 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| Find all providers in zip 37412 | ||||
| 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 |
|---|---|---|---|---|
| 1871140475 | Family Medical Providers, Pllc | Family Medicine | 3496 Brainerd Rd, Chattanooga, TN 37411-3532 | 2019-08-20 |
| 1366940538 | Hamilton Family Medicine, Pllc | Family Medicine | 2290 Ogletree Ave, Chattanooga, TN 37421-8816 | 2018-01-23 |
| 1922461698 | Jordan L Kim | Family Medicine | 320 E Main St Ste 200, Chattanooga, TN 37408-1609 | 2016-03-31 |
| 1659752764 | Chen Wang | Family Medicine | 1848 Rossville Ave, Chattanooga, TN 37408-1932 | 2015-06-15 |
| 1376889618 | Robert Wright Montague Sr. | Family Medicine | 1121 Healing Springs Rd, Chattanooga, TN 37419-1043 | 2012-12-13 |
| 1205107935 | Azam H Sohi | Family Medicine | 2333mccallie Avenue, Chattanooga, TN 37404 | 2012-01-26 |
| 1477844553 | Philip Anthony Sutherland | Family Medicine | 1300 E 23rd St, Chattanooga, TN 37404-5701 | 2011-04-25 |
| 1851540694 | Christopher Timothy Moore | Family Medicine | 3914 Saint Elmo Ave, Chattanooga, TN 37409-1268 | 2008-09-17 |
| 1417106279 | Rapid Care Group Inc | Family Medicine | 711 Signal Mountain Rd Ste 169, Auite, Chattanooga, TN 37405-1823 | 2008-09-16 |
| 1366698755 | Lisa Fara | Family Medicine | 7030 Lee Hwy Ste 201, Chattanooga, TN 37421-6795 | 2008-08-18 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37412 |
Please comment or provide details below to improve the information on EDWARD L 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.