DR. MICHAEL JACOBSON (NPI# 1366442600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366442600 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JACOBSON |
| Credential | M.D. |
| Practice Address |
5408 Discovery Park Blvd Suite 300 Williamsburg VA 23188-2893 |
| Mailing Address |
901 Enterprise Pkwy Ste 300 Hampton VA 23666-6249 |
| Practice Telephone | 7572538722 |
| Practice Fax Number | 7572538726 |
| Mailing Telephone | 7578252500 |
| Mailing Fax Number | 7578252500 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0101233611 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006503489 | 05 | |
| VA | 006503446 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700406477 | Michael Pescatore Jacobson | Student in an Organized Health Care Education/Training Program | 8906 Maribou Ct, Highlands Ranch, CO 80130-3315 | 2020-04-22 |
| 1275947509 | Michael Jacobson | Dentist | 1101 N Hillcrest Rd, Beverly Hills, CA 90210-2614 | 2014-06-14 |
| 1609966142 | Michael Andrew Jacobson | Chiropractor | 3201 N 3rd St, Phoenix, AZ 85012-2631 | 2006-10-13 |
| 1689870289 | Michael Evan Jacobson | Emergency Medicine | 8303 Dodge St, Omaha, NE 68114-4108 | 2007-06-21 |
| 1902016504 | Michael Thomas Jacobson | Family Medicine | 4771 S Cleveland Ave, Fort Myers, FL 33907-1317 | 2007-05-23 |
| 1639390651 | Michael Duane Jacobson | Family Medicine | 2261 Philadelphia Dr, Dayton, OH 45406-1814 | 2007-05-01 |
| 1649352964 | Michael A Jacobson | Dermatology | 1051 Long Ridge Rd, Stamford, CT 06903-4436 | 2006-10-19 |
| 1891884185 | Michael Jacobson | Psychiatry & Neurology | 1 Nolte Dr, Kittanning, PA 16201-7111 | 2006-10-12 |
| 1831284249 | Michael Brian Jacobson | Pediatrics | 250 E Chase Ave, Suite 108, El Cajon, CA 92020-6305 | 2006-10-03 |
| 1316044563 | Michael Jacobson | Internal Medicine | 1421 3rd Ave, Ph, New York, NY 10028-1802 | 2006-09-20 |
| Street Address |
5408 DISCOVERY PARK BLVD SUITE 300 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639628563 | Maria Williams | Audiologist | 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 | 2016-10-04 |
| 1164812640 | Ashley Marie Brawford Suttmiller | Specialist/Technologist | 5408 Discovery Park Blvd, Suite 200, Williamsburg, VA 23188-2893 | 2015-02-04 |
| 1245661222 | Hampton Roads Otolaryngology Associates | Non-Pharmacy Dispensing Site | 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 | 2013-12-02 |
| 1487093209 | Kenneth Boecker | Chiropractor | 5408 Discovery Park Blvd, Suite 200, Williamsburg, VA 23188-2893 | 2013-06-15 |
| 1982973954 | Coastal Oral Maxillofacial Surgery & Implants, Inc. | Dentist | 5408 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2893 | 2011-12-21 |
| 1124030671 | Kenneth Gerard Muller | Chiropractor | 5408 Discovery Park Blvd, Suite 200, Williamsburg, VA 23188-2893 | 2006-08-13 |
| 1851326987 | Robert M Pinto | Chiropractor | 5408 Discovery Park Blvd, Suite 200, Williamsburg, VA 23188-2893 | 2006-07-11 |
| 1679538805 | Michele Renee Heisel | Specialist/Technologist | 5408 Discovery Park Blvd, Suite 200, Williamsburg, VA 23188-2893 | 2006-04-19 |
| 1851388235 | John Lawrence Howard II | Otolaryngology | 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 | 2005-09-30 |
| 1699769018 | Kevin Daniel Kiely | Dentist | 5408 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2893 | 2005-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| 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 |
|---|---|---|---|---|
| 1831110501 | Riverside Physician Services Inc | Otolaryngology | 120 Kings Way, Suite 2550, Williamsburg, VA 23185-2505 | 2006-07-21 |
| 1619931649 | Scott Y Pharr | Otolaryngology | 5424 Discovery Park Blvd, Suite 201, Williamsburg, VA 23188-2904 | 2006-04-14 |
| 1427019793 | Catherine Rees Lintzenich | Otolaryngology | 120 Kings Way, Suite 2900, Williamsburg, VA 23185-2505 | 2006-03-28 |
| 1851388235 | John Lawrence Howard II | Otolaryngology | 5408 Discovery Park Blvd, Suite 300, Williamsburg, VA 23188-2893 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1629459243 | Kevin James Quinn | Otolaryngology | 1200 E Broad St # 980257, Richmond, VA 23298 | 2015-06-10 |
| 1356778641 | Stat, LLC | Otolaryngology | 10812 Weather Vane Rd, Richmond, VA 23238-4161 | 2013-10-01 |
| 1134564073 | Ear, Nose, Throat & Allergy Consultants, PC | Otolaryngology | 26208 Lee Highway, Abingdon, VA 24211-7504 | 2013-05-06 |
| 1467790477 | Marco Aurelio Merida | Otolaryngology | 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 | 2013-01-25 |
| 1609142355 | Neelima Tummala | Otolaryngology | 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 | 2012-03-27 |
| 1346512225 | John Laurence Manwaring | Otolaryngology | 7734 Retreat Ln, Warrenton, VA 20186-7546 | 2012-02-07 |
| 1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
| 1982998852 | Blue Ridge Medical Management Corporation | Otolaryngology | 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 | 2011-06-08 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.