BRIAN R JACOBS (NPI# 1396797023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797023 |
| Entity Type | Individual |
| Full Name | BRIAN R JACOBS |
| Credential | M.D. |
| Practice Address |
111 Michigan Ave Nw Cmio Washington DC 20010-2978 |
| Mailing Address |
1909 Carrollton Rd Annapolis MD 21409-6243 |
| Practice Telephone | 2028843969 |
| Mailing Telephone | 4107571960 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD036297 | DC | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
35-06-6978 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630668 | Brian Jacobs | Physical Therapist | 601 John St # 44, Kalamazoo, MI 49007-5341 | 2019-07-11 |
| 1437240694 | Brian Anthony Jacobs | Family Medicine | 610 N Michigan Street, Suite 308, South Bend, IN 46601 | 2006-09-27 |
| 1932202330 | Brian Coate Jacobs | Radiology | 1400 116th Ave Ne, Bellevue, WA 98004 | 2006-09-07 |
| 1497779425 | Brian Paul Jacobs | Social Worker | 339 S Main St, Sebastopol, CA 95472-4208 | 2006-07-26 |
| 1194378935 | Brian Daniel Jacobs | Counselor | 1655 Fort Myer Dr Ste 820, Arlington, VA 22209-3106 | 2019-07-22 |
| 1871995373 | Brian Jacobs | Nurse Anesthetist, Certified Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-09-16 |
| 1184906125 | Brian Jacobs | Rehabilitation Practitioner | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2011-09-15 |
| 1669771341 | Brian Thomas Jacobs | Pharmacist | 4515 E Mount Morris Rd, Mount Morris, MI 48458-8737 | 2011-03-21 |
| 1316262215 | Brian P Jacobs | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2010-04-02 |
| 1588741060 | Brian Scott Jacobs | Internal Medicine | 9840 Westpoint Dr, Suite 400, Indianapolis, IN 46256-3360 | 2006-11-01 |
| Street Address |
111 MICHIGAN AVE NW CMIO |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809197 | Jeffrey S Dome | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2005-05-23 |
| 1679174700 | Nkemdilim Okonkwo | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-04 |
| 1740881127 | Imtinan Mohammed Barnawi | Student in an Organized Health Care Education/Training Program | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1922609312 | Madison Gogol | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1932700291 | Kimberly Ann Wood | Speech-Language Pathologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-11-03 |
| 1336746999 | Yves Antoine D'udekem D'acoz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-10-07 |
| 1376150599 | Alexandra Gervais | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-30 |
| 1275140378 | Satoshi Miyairi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-23 |
| 1093321317 | Melissa Renee Dvorsky | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-22 |
| 1538775515 | Temitope Ajayi | Registered Nurse | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093152530 | Amy Hope Jones | Pediatrics | 111 Michigan Ave Nw # M4800, Washington, DC 20010-2916 | 2013-05-23 |
| 1528354800 | Laura Shaughnessy Schroeder | Pediatrics | 111 Michigan Ave Nw Ste M4800, Washington, DC 20010-2916 | 2011-06-24 |
| 1457977936 | Maria Angelica Chacon | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2020-06-22 |
| 1326448739 | Mekela Whyte-nesfield | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2014-09-04 |
| 1952737710 | Vinay Kukreti | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-09-24 |
| 1023454865 | Ali Haider Ahmad | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2013-05-20 |
| 1104185354 | Susan Rebecca Conway | Pediatrics | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2012-05-09 |
| 1417237355 | Jahee Hong | Pediatrics | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2011-08-23 |
| 1922392877 | Jb Fenix | Pediatrics | 111 Michigan Ave Nw, W3.5, 600, Washington, DC 20010-2916 | 2011-06-07 |
| 1770804585 | Megha Shah Fitzpatrick | Pediatrics | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2010-06-15 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on BRIAN R JACOBS.
| 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.