TRACY F JAKOB (NPI# 1346223856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346223856 |
Entity Type | Individual |
Full Name | TRACY F JAKOB |
Other Name | TRACY FOX |
Credential | MD |
Practice Address |
18300 Katy Fwy Suite 305 Houston TX 77094-1385 |
Mailing Address |
14140 Southwest Fwy Ste 200 Sugar Land TX 77478-3842 |
Practice Telephone | 2815781910 |
Practice Fax Number | 2815781774 |
Mailing Telephone | 2816497000 |
Mailing Fax Number | 7134846649 |
Enumeration Date | 2005-11-29 |
Last Update Date | 2019-10-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | H4331 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | MEDICARE -GROUP | TXB166198 | 01 |
TX | 118067103 | 05 |
Street Address |
18300 KATY FWY SUITE 305 |
City | HOUSTON |
State | TX |
Zip Code | 77094-1385 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821016 | Robert C Vanzant | Family Medicine | 18300 Katy Fwy, Suite 615, Houston, TX 77094-1385 | 2005-06-16 |
1164896056 | Kim D Gustafson | Nurse Practitioner | 18300 Katy Fwy, Suite 315, Houston, TX 77094-1385 | 2015-11-16 |
1154799278 | Kristin N Schmidt Md Pllc | Obstetrics & Gynecology | 18300 Katy Fwy, Suite 315, Houston, TX 77094-1385 | 2015-09-05 |
1629366075 | Lee Kendall Edwards | Family Medicine | 18300 Katy Fwy, Suite 615, Houston, TX 77094-1385 | 2011-07-19 |
1689991408 | Wesley Ekeruo | Urology | 18300 Katy Fwy, Suite 325, Houston, TX 77094-1385 | 2010-05-04 |
1255571162 | Jennifer E Cu | Physician Assistant | 18300 Katy Fwy, Suite 615, Houston, TX 77094-1385 | 2009-03-05 |
1134367220 | Nicolas M. Nammour, M.d. P.a. | Psychiatry & Neurology | 18300 Katy Fwy, Suite 405, Houston, TX 77094-1114 | 2009-01-27 |
1528074135 | George Alexander West | Neurological Surgery | 18300 Katy Fwy, Mob 2, Suite 135, Houston, TX 77094-1385 | 2006-08-01 |
1962426692 | Nicolas Maher Nammour | Psychiatry & Neurology | 18300 Katy Fwy, Ste 405, Houston, TX 77094-1385 | 2006-07-26 |
1316919053 | Tara M Morrison | Otolaryngology | 18300 Katy Fwy, Suite 305, Houston, TX 77094-1385 | 2006-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316591886 | John Walter Warner Jr. | Physical Therapist | 18200 Katy Fwy. Wa.0540.01, Houston, TX 77094 | 2019-08-01 |
1104394360 | Brooklyn Bradford | Physical Therapist | 18200 Katy Freeway, Wa 130, Houston, TX 77094 | 2018-11-06 |
1063921641 | Michelle Gorman | Chiropractor | 18021 Kingsland Blvd Apt 8103, Houston, TX 77094 | 2017-09-26 |
1558749705 | Sima Momin | Internal Medicine | 18400 Katy Fwy Ste 300, Houston, TX 77094 | 2015-05-08 |
1659784874 | Nova Pension | Behavioral Analyst | 19030 Waterford Cv, Houston, TX 77094 | 2014-06-05 |
1134531361 | Lina M Ching Mdpa | Internal Medicine | 18300 Katy Freeway, Suite 275, Houston, TX 77094 | 2014-05-22 |
1942610068 | Nesochi Adimorah | Obstetrics & Gynecology | 18400 Katy Fwy Ste 400, Houston, TX 77094 | 2014-04-28 |
1174952584 | Pure Smiles | Dentist | 19235 Katy Freeway South, 300a, Houston, TX 77094 | 2013-11-06 |
1134439086 | Monty Arta Aghazadeh | Surgery | 18300 Katy Fwy Ste 325, Houston, TX 77094 | 2010-10-13 |
1386972503 | Allan Sobrevians Garcia | Pharmacist | 18400 Katy Fwy Ste 100, Houston, TX 77094 | 2009-11-29 |
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Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154937886 | Robert Harold Miller | Otolaryngology | 2616 Wroxton Rd, Houston, TX 77005-1312 | 2020-09-18 |
1194374843 | Yelda Jozaghi | Otolaryngology | 1515 Holcombe Blvd # 1445, Houston, TX 77030-4000 | 2019-09-05 |
1730568502 | Marcus Hershey | Otolaryngology | 4101 Greenbriar Dr Ste 320, Houston, TX 77098-5296 | 2015-05-26 |
1124431994 | Viran Jay Ranasinghe | Otolaryngology | 20207 Chasewood Park Dr Ste 100, Houston, TX 77070-1441 | 2014-06-09 |
1043635816 | Eduardo Manuel Diaz | Otolaryngology | 9870 Gaylord Dr Apt 1112, Houston, TX 77024-2672 | 2014-03-03 |
1073956074 | Jennifer Dang | Otolaryngology | 6550 Fannin St Ste 1727, Houston, TX 77030-2717 | 2013-04-10 |
1295094548 | Daniel Peter Fox | Otolaryngology | 18400 Katy Fwy Ste 470, Houston, TX 77094-1287 | 2012-05-07 |
1922373653 | Robert Nicholas Berezoski | Otolaryngology | 7123 Heron Dr, Houston, TX 77087-6723 | 2012-03-13 |
1659690493 | Bruce Edison | Otolaryngology | 12010 Cobblestone Dr, Houston, TX 77024-5054 | 2010-05-19 |
1033344387 | Kunal Sudhir Jain | Otolaryngology | 6400 Fannin St Ste 2700, Houston, TX 77030-1539 | 2009-05-15 |
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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.