MR. JACOB VALABOV (NPI# 1487051371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487051371 |
Entity Type | Individual |
Full Name | MR. JACOB VALABOV |
Credential | DPM |
Practice Address |
101 S Hill St La Crescent MN 55947-1389 |
Mailing Address |
Po Box 917 Northbrook IL 60065-0917 |
Practice Telephone | 8475045000 |
Practice Fax Number | 8475045015 |
Mailing Telephone | 8475045000 |
Mailing Fax Number | 8475045015 |
Enumeration Date | 2014-11-21 |
Last Update Date | 2019-07-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 1082-25 | WI | Podiatric Medicine & Surgery Service Providers |
Y | 213E00000X | Podiatrist | 1006 | MN | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | RAILROAD MEDICARE | P01683970 | 01 |
WI | 1487051371 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
737 Hunter Dr, Mount Pleasant, WI 534064067 | 8475045000 | 8475045015 |
Street Address |
101 S HILL ST |
City | LA CRESCENT |
State | MN |
Zip Code | 55947-1389 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932150125 | Ggnsc La Crescent LLC | Skilled Nursing Facility | 101 S Hill St, La Crescent, MN 55947-1389 | 2006-05-13 |
1295270924 | Nsh La Crescent LLC | Skilled Nursing Facility | 101 S Hill St, La Crescent, MN 55947-1389 | 2017-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126235 | Kevin James Hosch | Chiropractor | 120 Midnite St, La Crescent, MN 55947 | 2020-02-13 |
1225535396 | Springbrook Village of La Crescent LLC | Assisted Living Facility | 1384 County Road 25, La Crescent, MN 55947 | 2018-04-06 |
1548277296 | Christopher David Wood | Chiropractor | 205 N Chestnut St, Suite 108, La Crescent, MN 55947 | 2006-08-02 |
1386843704 | Traveling Angel PC | Home Health | 6632 State 26, La Crescent, MN 55947-0163 | 2007-07-16 |
1629307178 | Tamara June Benson | Registered Nurse | 322 N 1st St, La Crescent, MN 55947-1105 | 2009-12-11 |
1669441556 | Carrie L Gerhard | Family Medicine | 226 N 2nd St, La Crescent, MN 55947-1111 | 2006-03-14 |
1790297737 | Jennifer Gretchen Mchugh | Social Worker | 226 N 2nd St, La Crescent, MN 55947-1111 | 2017-10-31 |
1982992202 | Rebecca M Meinertz | Nurse Practitioner | 226 N 2nd St, La Crescent, MN 55947-1111 | 2011-07-20 |
1811150048 | Duane K Undeland | Internal Medicine | 226 N 2nd St, La Crescent, MN 55947-1111 | 2008-07-08 |
1447325170 | Lisa J Nutter | Nurse Practitioner | 226 N 2nd St, La Crescent, MN 55947-1111 | 2006-11-21 |
Find all providers in zip 55947 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912556937 | Seniorwell Pod of Minnesota, LLC | Podiatrist | 100 S 5th St Ste 1900, Minneapolis, MN 55402-1267 | 2019-09-11 |
1033553789 | Advanced Foot & Ankle Clinic LLP | Podiatrist | 633 1st St Se Ste 100, Faribault, MN 55021-6348 | 2013-04-24 |
1881963239 | Foot Care Across America, LLC | Podiatrist | 14654 Rhinestone Terrace, Ramsey, MN 55303-4923 | 2011-12-14 |
1083902126 | Paul H Peterson | Podiatrist | 1420 109th Ave Ne Ste 100, Blaine, MN 55449-3603 | 2011-07-11 |
1619261708 | Nathan D Sanders | Podiatrist | 404 West Fountain Street, Albert Lea, MN 56007-3920 | 2011-06-06 |
1427352087 | Doctors By Your Side | Podiatrist | 6600 Lyndale Av S, #120, Richfield, MN 55423-3398 | 2010-12-22 |
1154566396 | Sarah Phelps Whittaker | Podiatrist | 2221 Ford Parkway, Suite #350, Saint Paul, MN 55116-3837 | 2008-12-02 |
1568635969 | Bolcer Podiatry, Inc. | Podiatrist | 19230 Evans St Nw Ste 109, Elk River, MN 55330-1079 | 2008-04-07 |
1194846782 | Range Podiatric Care, Pa | Podiatrist | 809 N 6th Ave, Northgate Plaza, Virginia, MN 55792-2308 | 2007-04-02 |
1285779991 | John Tyler Garner | Podiatrist | 2302 Highway 53, Eveleth, MN 55734-8523 | 2007-02-20 |
Find all providers with the same taxonomy |
City | LA CRESCENT |
Zip Code | 55947 |
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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.