RICHARD R JACOBS (NPI# 1447457171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447457171 |
| Entity Type | Individual |
| Full Name | RICHARD R JACOBS |
| Credential | MD |
| Practice Address |
2801 Clearwater Ct Joplin MO 64801-8239 |
| Mailing Address |
1865 Admiral Ct Glenview IL 60026-8055 |
| Practice Telephone | 7322330640 |
| Mailing Telephone | 7025827540 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
01067878A | IN | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
036117769 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 2SMA06320300 | 01 |
| IN | ANTHEM PROVIDER NUMBER | 000000705885 | 01 |
| KS | STATE LICENSE | 0432464 | 01 |
| IN | 201014850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225298268 | Richard Douglas Jacobs Jr. | Internal Medicine | 4176 W Jasper Dr, Chandler, AZ 85226-7226 | 2008-06-12 |
| 1336367655 | Richard Samuel Jacobs | Dentist | 3716 Philadelphia Pike, Claymont, DE 19703-3412 | 2007-04-23 |
| 1932230901 | Richard S Jacobs | Pharmacist | 16493 Se 59th St, Bellevue, WA 98006-5549 | 2007-03-08 |
| 1912033663 | Richard Terril Jacobs | Family Medicine | 1351 Fowler St, Richland, WA 99352-4714 | 2007-02-26 |
| 1255444238 | Richard Jacobs | Chiropractor | 215 Gulf Breeze Pkwy, Gulf Breeze, FL 32561-4465 | 2006-08-16 |
| 1114955564 | Richard Marc Jacobs | Podiatrist | 4511 Knox Rd, Suite 103, College Park, MD 20740-3380 | 2006-06-28 |
| 1508169780 | Richard John Jacobs | Social Worker | 164 Hawley St, Binghamton, NY 13901-4017 | 2010-12-10 |
| 1851544290 | Richard Dean Jacobs | Physical Therapist | 710 S Kenwood Ave, Moose Lake, MN 55767-9405 | 2008-10-29 |
| 1790800639 | Richard P Jacobs | Radiology | 200 West St, Waltham, MA 02451-1121 | 2007-03-20 |
| 1619012218 | Richard A Jacobs | Dentist | 1423 Chapel St, New Haven, CT 06511-4411 | 2007-02-21 |
| Street Address |
2801 CLEARWATER CT |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-8239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205033941 | Associates In Tumor Therapy, Chartered | Radiology | 2801 Clearwater Ct, Joplin, MO 64801-8239 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205033941 | Associates In Tumor Therapy, Chartered | Radiology | 2801 Clearwater Ct, Joplin, MO 64801-8239 | 2007-06-27 |
| 1447380795 | Bethesda Resources Inc | Radiology | 3411 Mc Intosh Cir, Joplin, MO 64804-3651 | 2007-03-06 |
| 1144416389 | Alliance Oncology LLC | Radiology | 3411 Mc Intosh Cir, Joplin, MO 64804-3651 | 2007-09-21 |
| 1821289893 | Chance Lee Matthiesen | Radiology | 932 E 34th St, Joplin, MO 64804-3932 | 2007-08-06 |
| 1649470311 | Ross Andrew Shiels | Radiology | 932 E 34th St, Joplin, MO 64804-3932 | 2007-07-20 |
| 1780682880 | Jose M Pacheco-gil | Radiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778228 | Central Care, Pa | Radiology | 1004 Carondelet Dr Ste 410, Kansas City, MO 64114-4801 | 2020-10-23 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1568721454 | Jason Matthew Edwards | Radiology | 232 S Woods Mill Rd Ste 110e, Chesterfield, MO 63017 | 2012-05-11 |
| 1649569385 | Sagar Chandravadan Patel | Radiology | 211 Saint Francis Dr Ste 372, Cape Girardeau, MO 63703-5049 | 2011-04-04 |
| 1922326958 | Yvonne Thanh-nga D Pham | Radiology | 6601 Winchester Ave Ste 230, Kansas City, MO 64133-4681 | 2010-05-14 |
| 1811158587 | Benjamin Bin Yan | Radiology | 1111 Kentucky Ave., Omc Cancer Treatment Center, West Plains, MO 65775-2028 | 2008-06-24 |
| 1336338912 | Joseph Fields | Radiology | 9 Heather Hill Ln, Saint Louis, MO 63132-4105 | 2007-10-18 |
| 1700916848 | Bethesda Resources Inc | Radiology | 1124 N Main St, Sikeston, MO 63801-5046 | 2007-03-07 |
| 1588794812 | Bethesda Resources Inc | Radiology | 1175 E Karsch Blvd, Farmington, MO 63640-3408 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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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.