DR. ANNAMMA J JACOB (NPI# 1386668903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386668903 |
| Entity Type | Individual |
| Full Name | DR. ANNAMMA J JACOB |
| Credential | M.D. |
| Practice Address |
1635 N George Mason Dr Ste 240 Arlington VA 22205-3681 |
| Practice Telephone | 7035281329 |
| Practice Fax Number | 7035224915 |
| Mailing Telephone | 7035281329 |
| Mailing Fax Number | 7035224915 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 0101034078 | VA | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
0101034078 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 081723 | 01 | |
| VA | 60-4923-1 | 05 | |
| M.D.I.P.A | 29164 | 01 | |
| UNITED HEALTHCARE | 54-1272326 | 01 | |
| CAREFIRST BLUE CROSS BLUE | 8803 | 01 |
| Street Address |
1635 N GEORGE MASON DR STE 240 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22205-3681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214222 | Infectious Diseases & Medical Associates | Internal Medicine | 1635 N George Mason Dr, Suite 180, Arlington, VA 22205-3601 | 2005-09-06 |
| 1972018380 | Stephanie A Monahan | Registered Nurse | 1635 N George Mason Dr, 1n - Ssu, Arlington, VA 22205 | 2017-12-07 |
| 1487189247 | Arlington Medical Group P C | Clinic/Center | 1635 N George Mason Dr, Suite 480, Arlington, VA 22205-3601 | 2017-04-28 |
| 1093253213 | Emily Harmon | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2017-02-08 |
| 1740728062 | Caroline Ba, P.C. | Psychologist | 1635 N George Mason Dr, Suite 185, Arlington, VA 22205-3601 | 2017-02-07 |
| 1972046621 | Arlington Alexandria Endodontics, Pllc | Dentist | 1635 N George Mason Dr, Suite 140, Arlington, VA 22205-3601 | 2016-11-29 |
| 1689127797 | Thomas N Jacob Md PC | Psychiatry & Neurology | 1635 N George Mason Dr, Ste 240, Arlington, VA 22205-3601 | 2016-07-26 |
| 1043668957 | Matthew Rossman | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2016-06-01 |
| 1487030136 | Brian Koziol | Physical Therapist | 1635 N George Mason Dr, Suite 110, Arlington, VA 22205-3601 | 2015-08-05 |
| 1508273426 | Virginia Hospital Center Physician Group LLC | Internal Medicine | 1635 N George Mason Dr, Ste 115, Arlington, VA 22205-3601 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417315722 | Ruth Jannet Figueroa Lopez | Dentist | Blvd Cucapah 19961-9, Ampliacion Loma Bonita, Tijuana, BAJA CALIFORNIA 22205 | 2016-02-01 |
| 1083004394 | Ashley Pullum | Behavioral Analyst | 874 N Nottingham St, Arlington, VA 22205 | 2015-01-26 |
| 1548601529 | Whitney C Pelton | Physical Therapist | 5910 Wilson Blvd, Sunrise Bluemont, Arlington, VA 22205 | 2013-07-08 |
| 1134490311 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1625 N George Mason Drive Suite 345, Arlington, VA 22205 | 2012-01-20 |
| 1518269638 | Arle Zelma Samuels | Pharmacist | 5105 W1ilson Blvd, Arlington, VA 22205 | 2010-11-22 |
| 1255640686 | Geatenet G Wasia | Pharmacist | 4851 N Washington Blvd, Arlington, VA 22205 | 2010-10-04 |
| 1518272327 | Alexis S Speight | Counselor | 1725 North George Mason Dr., Arlington, VA 22205 | 2010-08-17 |
| 1821224437 | Myriam Ferzli | Obstetrics & Gynecology | 1635 N George Mason Dr Ste 190, Arlington, VA 22205 | 2009-06-09 |
| 1427232685 | United Rehab Inc. | Home Health | 1661 N. Longfellow Street, Arlington, VA 22205 | 2007-12-24 |
| 1144426404 | Teri E Minehart | Nurse Practitioner | 1701 No. George Mason Drive, Arlington, VA 22205 | 2007-06-25 |
| Find all providers in zip 22205 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395477 | Cure Allergy Clinic, Pllc | Allergy & Immunology | 4120 N Collins St Ste 100, Arlington, TX 76005-4553 | 2020-01-20 |
| 1700815677 | Sally J Bailey | Allergy & Immunology | 1715 N George Mason Dr, Ste 502, Arlington, VA 22205-3609 | 2006-07-02 |
| 1174575831 | Moonhee Lee | Allergy & Immunology | 3939 W Green Oaks Blvd, Suite 210, Arlington, TX 76016-2784 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610682 | Kaufman Allergy Asthma and Immunology, Pllc | Allergy & Immunology | 8320 Old Courthouse Rd Ste 310, Vienna, VA 22182-3831 | 2020-08-23 |
| 1962862672 | Fame Allergy, PC | Allergy & Immunology | 1002 Apperson Dr, Salem, VA 24153-7133 | 2016-02-24 |
| 1346423381 | Vickie Kyuran Lee | Allergy & Immunology | 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 | 2007-12-13 |
| 1871619452 | Allergy, Asthma and Sinus Center of Central Virginia | Allergy & Immunology | 3701 Boulevard Ste H, Colonial Heights, VA 23834-1339 | 2007-03-22 |
| 1053436451 | Hassan Mohagheghi | Allergy & Immunology | 3701 Boulevard, Suite H, Colonial Heights, VA 23834-1339 | 2007-03-21 |
| 1548340748 | Laura Ispas | Allergy & Immunology | 19455 Deerfield Ave Ste 207, Leesburg, VA 20176-8102 | 2006-10-16 |
| 1811092414 | Manuel Guillen | Allergy & Immunology | 101 34 D Colvin Run Road, Great Falls, VA 22066 | 2006-09-14 |
| 1871515296 | Albert L. Huber | Allergy & Immunology | 910 E High St, Charlottesville, VA 22902-4850 | 2006-07-24 |
| 1659302560 | Murali Dharan Sharath | Allergy & Immunology | 4534 Bonney Rd, Suite B, Virginia Beach, VA 23462-3873 | 2006-07-06 |
| 1932130531 | Kimberly C George | Allergy & Immunology | 201 Concourse Blvd, Ste 100, Glen Allen, VA 23059-5640 | 2006-07-05 |
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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.