JOHN JACOB (NPI# 1346690948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346690948 |
| Entity Type | Individual |
| Full Name | JOHN JACOB |
| Credential | MD |
| Practice Address |
1000 Oakland Dr Kalamazoo MI 49008-1282 |
| Practice Telephone | 2693376019 |
| Mailing Telephone | 2693376019 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301110446 | MI | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4301110446 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760755136 | John Jacob | Pharmacist | 12091 Nw 2nd Drive, Coral Springs, FL 33071 | 2012-02-16 |
| 1386176691 | John Jacob | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 | 2017-03-28 |
| 1245616549 | John Jacob | Counselor | 444 Center St, Manchester, CT 06040-3926 | 2015-08-10 |
| 1396009122 | John Jacob | Family Medicine | 3884 Central Sarasota Pkwy, Dept 797, Sarasota, FL 34238-3046 | 2012-06-26 |
| 1801182662 | John Doromal Jacob | Surgery | 3400 Spruce St, Department of Anesthesia Critical Care, Philadelphia, PA 19104-4238 | 2011-06-21 |
| Street Address |
1000 OAKLAND DR |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49008-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467249 | Michigan State University Kalamazoo Center for Medical Studies | Clinic/Center | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2005-06-17 |
| 1154930899 | Rawand Khaled Abdel Wahed | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-29 |
| 1932717808 | Reem Issa Ibrahim Anz | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-16 |
| 1386262525 | Mohammad Sabobeh | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-13 |
| 1396363024 | Marian Jirjis | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-07-09 |
| 1538786314 | David Mahmoudian | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1284 | 2020-06-29 |
| 1316564099 | Mursel Momand | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-29 |
| 1992322713 | Taylor Cable | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-26 |
| 1679199665 | Haripriya Santhanam | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-25 |
| 1134745110 | Faisal Ansari | Student in an Organized Health Care Education/Training Program | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847534 | Theresa Anne Aranda | Pharmacist | 3016 S Westendge Ave, Kalamazoo, MI 49008 | 2020-07-01 |
| 1336615830 | Jonathon Strefling | Physical Therapist | 165 N. Washington Ave, Battle Creek, MI 49008 | 2018-10-23 |
| 1376039826 | Alexander J Hessler I | Pharmacist | 5121 S Westnedge Ave., Kalamazoo, MI 49008 | 2018-07-09 |
| 1700324415 | Philip Richard Granish | Psychologist | 4341 S. Westnedge, Suite 1103, Kalamazoo, MI 49008 | 2017-02-02 |
| 1396195863 | Kyle Bronsteen | Student in an Organized Health Care Education/Training Program | Wmu School of Medicine, 1000 Oakland Drive, Kalamazoo, MI 49008 | 2016-06-15 |
| 1013363449 | Gwendolyn Layette Moore | Home Health Aide | 4441 Old Colony Road, Kalamazoo, MI 49008 | 2016-05-04 |
| 1982008066 | Danah Kim | Dentist | 3130 N Westnedge Ave., Kalamazoo, MI 49008 | 2014-10-17 |
| 1598168874 | Melissa Shields | Physician Assistant | Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 | 2014-10-01 |
| 1831508548 | D2 Dental of Michigan, P.C. | Dentist | 3130 S Westnedge Avenue, Kalamazoo, MI 49008 | 2014-08-06 |
| 1558784330 | Maureen Brown | Pharmacist | 5121 S. Westnedge Ave, Kalamazoo, MI 49008 | 2014-01-29 |
| Find all providers in zip 49008 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487278149 | Nathan Collin Sklar | Student in an Organized Health Care Education/Training Program | 300 Portage St, Kalamazoo, MI 49007-4929 | 2020-05-28 |
| 1659994994 | Courtney Elizabeth Adler | Student in an Organized Health Care Education/Training Program | 1904 Cambridge Dr, Kalamazoo, MI 49001-4444 | 2020-05-21 |
| 1790306058 | Ali Shah | Student in an Organized Health Care Education/Training Program | 1000 Oakland Drive Western Michigan University, Homer Stryker Md School of Medicine, Kalamazoo, MI 49008-8012 | 2020-04-28 |
| 1871120220 | Ashley Raedy | Student in an Organized Health Care Education/Training Program | 8228 Switch Grass Rdg, Kalamazoo, MI 49009-6938 | 2020-03-25 |
| 1447719646 | Katelyn Faye Baker | Student in an Organized Health Care Education/Training Program | 6460 Ormada Dr, Kalamazoo, MI 49048-9473 | 2019-03-18 |
| 1144787300 | Brian Alexander Austin-young | Student in an Organized Health Care Education/Training Program | 1210 Oliver Ln, Kalamazoo, MI 49008-5454 | 2019-02-25 |
| 1144786898 | Jena Schram | Student in an Organized Health Care Education/Training Program | 1245 Redpine Way, Kalamazoo, MI 49006-5497 | 2019-02-19 |
| 1750847406 | Austin Louis Krysmalski | Student in an Organized Health Care Education/Training Program | 1324 S Westnedge Ave, Kalamazoo, MI 49008-1380 | 2019-02-19 |
| 1770068728 | Alexsys St.john | Student in an Organized Health Care Education/Training Program | 3325 W Michigan Ave, Kalamazoo, MI 49006-5579 | 2018-09-26 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| Find all providers in KALAMAZOO | ||||
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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.