EARL JACOBSON (NPI# 1487682662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487682662 |
| Entity Type | Individual |
| Full Name | EARL JACOBSON |
| Other Name | DR. EARL JACOBSON |
| Credential | DPM |
| Practice Address |
3650 S Eastern Ave # 200 Las Vegas NV 89169-3345 |
| Practice Telephone | 7023842544 |
| Practice Fax Number | 7023848528 |
| Mailing Telephone | 7023842544 |
| Mailing Fax Number | 7023848528 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
43 | NV | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PALMETTO GBA RAILROAD MED | 756480688 | 01 | |
| NV | 002102804 | 05 |
| Street Address |
3650 S EASTERN AVE # 200 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404663 | Farrukh Imtiaz | Internal Medicine | 3650 S Eastern Ave, Ste 210, Las Vegas, NV 89169-3345 | 2005-08-19 |
| 1154784924 | Precious Care Service LLC | In Home Supportive Care | 3650 S Eastern Ave, Suite 330b, Las Vegas, NV 89169-3379 | 2016-03-30 |
| 1982067757 | Precious Care Service LLC | In Home Supportive Care | 3650 S Eastern Ave, Suite 330b, Las Vegas, NV 89169-3379 | 2016-03-30 |
| 1821224478 | Precious Care Service LLC | In Home Supportive Care | 3650 S Eastern Ave, Suite 330b, Las Vegas, NV 89169-3379 | 2009-06-09 |
| 1235335167 | Jack D Close | Physical Therapist | 3650 S Eastern Ave, Ste 100, Las Vegas, NV 89109-3379 | 2007-06-26 |
| 1750587689 | Robert M Williams | Physical Therapist | 3650 S Eastern Ave, Ste 100, Las Vegas, NV 89109-3379 | 2007-06-26 |
| 1104941152 | Christa Milena Carlomusto | Physical Therapist | 3650 S Eastern Ave, 100, Las Vegas, NV 89109-3379 | 2007-03-20 |
| 1669485306 | Bradley Jay Thompson | Internal Medicine | 3650 S Eastern Ave, #300, Las Vegas, NV 89109-3379 | 2006-08-14 |
| 1376560896 | Villaflor & Villaflor A Prof Corp | Family Medicine | 3650 S Eastern Ave, Suite 210, Las Vegas, NV 89109-3379 | 2006-07-17 |
| 1952342891 | Renu S Batra | Pediatrics | 3650 S Eastern Ave, # 230, Las Vegas, NV 89109-3379 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720635535 | Usa Resources | Podiatrist | 2701 N Tenaya Way Ste 230, Las Vegas, NV 89128-0480 | 2019-08-26 |
| 1225569528 | Sun City Medical Center Pllc | Podiatrist | 9280 W Sunset Rd Ste 410, Las Vegas, NV 89148-4862 | 2017-03-27 |
| 1518316819 | Aniela Cordoba | Podiatrist | 3320 N Buffalo Dr Ste 107, Las Vegas, NV 89129-7410 | 2016-06-07 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1033593843 | Nahad Wassel | Podiatrist | 3662 E Sunset Rd Ste 115, Las Vegas, NV 89120-7224 | 2015-07-13 |
| 1912329202 | Allcare Foot and Ankle Clinic | Podiatrist | 7350 W Cheyenne Ave, Suite 110, Las Vegas, NV 89129-7445 | 2014-01-06 |
| 1417392481 | Benjamin Heber Bauer | Podiatrist | 3777 Pecos Mcleod Ste 103, Las Vegas, NV 89121-4265 | 2013-05-06 |
| 1588951834 | Christina Louise Hulsebos | Podiatrist | 1850 E Sahara Ave Ste 202, Las Vegas, NV 89104-3746 | 2011-07-07 |
| 1871889824 | Conan R Parke | Podiatrist | 2641 Box Canyon Dr Ste A, Las Vegas, NV 89128-0423 | 2011-06-28 |
| 1508158536 | Sunrise Foot and Ankle LLC | Podiatrist | 4580 S Eastern Ave Ste 30, Las Vegas, NV 89119-6100 | 2011-05-10 |
| Find all providers in LAS VEGAS | ||||
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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.