KATHERINE NICHOLAS JACOB


Address: 1105 Central Expy N Ste 2360, Allen, TX 75013-6116
Phone: 2145477557

KATHERINE NICHOLAS JACOB (NPI# 1497780571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497780571
Entity Type Individual
Full Name KATHERINE NICHOLAS JACOB
Credential M.D.
Practice Address 1105 Central Expy N Ste 2360
Allen
TX 75013-6116
Practice Telephone 2145477557
Practice Fax Number 2145477560
Mailing Telephone 2145477557
Mailing Fax Number 2145477560
Enumeration Date 2006-07-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
L2344 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 176680001 05
TX BLUE CROSS/BLUE SHIELD TX 0031MY 01

Other Providers KATHERINE JACOB

NPI Name Taxonomy Address Enumeration
1235487240 Katherine Jacob Pharmacist 10 Gene Dr, Shelton, CT 06484-5733 2012-08-22

Office Location

Street Address 1105 CENTRAL EXPY N STE 2360
City ALLEN
State TX
Zip Code 75013-6116

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1417569807 Navaneetha Brindha Natchimuthu Dds, Pllc Dentist 880 W Exchange Parkway, Building A, Suite 140, Allen, TX 75013 2020-08-18
1225647423 Fivestar Pulmonary Associates Pllc Internal Medicine 981 State Hwy 121, Ste 3100, Allen, TX 75013 2020-07-24
1497363741 Pharmestate LLC Pharmacy 317 Central Expressway North, Allen, TX 75013 2020-07-22
1265063002 Paul-douglas Walters Clinic/Center 1101 Raintee Circle, Suite 130, Allen, TX 75013 2020-01-30
1043840069 Thrive Dental Allen Pllc Dentist 1010 W Exchange Pkwy, #130, Allen, TX 75013 2020-01-17
1023578952 Keri Owens In Home Supportive Care 1823 Valencia Drive, Allen, TX 75013 2019-03-25
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851827331 Texas Associates of Endocrinology & Diabetes Pa Internal Medicine 942 Pheasant Dr, Allen, TX 75013-4891 2017-05-03
1770610164 Aris N Jacob Md Pa Internal Medicine 1105 Central Expy N, Suite 2360, Allen, TX 75013-6103 2007-02-27
1952437584 Endocrinology Clinic of North Texas, P.a. Internal Medicine 1105 Central Expy N, Suite 2360, Allen, TX 75013-6103 2007-02-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1770197816 Diabetes & Endocrinology Clinic of South Texas Pllc Internal Medicine 620 N Ed Carey Dr, Harlingen, TX 78550-7912 2020-09-05
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1124669866 Endocrine Diabetes and Thyroid Specialists of Houston Pllc Internal Medicine 18220 Texas 249 Access Rd, Houston, TX 77070 2019-10-03
1053963389 Ruba Riachy Internal Medicine The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 2019-07-16
1093235350 Endo Telehealth Pllc Internal Medicine 12518 Cutten Rd Ste B, Houston, TX 77066-1804 2017-06-27
1366984288 Kateryna Komarovskiy, Md, Pllc Internal Medicine 150 Pine Forest Dr # 103, Shenandoah, TX 77384-5302 2016-11-09
1265894604 John W. Richard, Md, Pllc Internal Medicine 4604 Sebago Trl, Plano, TX 75093-3394 2016-03-24
1699140327 Dcoa Physician Associates, Pa Internal Medicine 1819 Labranch, Houston, TX 77002 2015-12-07
1649646357 Southeast Texas Self-management of Diabetes Internal Medicine 3030 North St Ste 560, Beaumont, TX 77702-1424 2015-08-17
1619364510 Umara Jamal Internal Medicine 2802 Woodspring Acres Dr, Kingwood, TX 77345-2533 2015-04-20
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City ALLEN
Zip Code 75013

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Dataset Information

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.

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