DR. CAROL L JACOBS (NPI# 1548369309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548369309 |
| Entity Type | Individual |
| Full Name | DR. CAROL L JACOBS |
| Credential | MD |
| Practice Address |
400 Ogletree Dr Livingston TX 77351-6783 |
| Practice Telephone | 9363288812 |
| Practice Fax Number | 9363288815 |
| Mailing Telephone | 9363288812 |
| Mailing Fax Number | 9363288815 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
J6500 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092234604 | 05 | |
| TX | 169920902 | 05 | |
| TX | CHOICE ONE CHIPS | 7813 | 01 |
| TX | BCBS | 8P9490 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023372075 | Carol P Jacobs | Specialist | 55 Spring Hill Ter, Chestnut Ridge, NY 10977-7023 | 2012-06-25 |
| 1548488646 | Carol Ann Jacobs | Counselor | 127 Thompson St, Ashland, VA 23005-1511 | 2007-04-23 |
| 1225486822 | Carol Jacobs | Physical Therapist | 4533 Brambleton Ave, Roanoke, VA 24018-3436 | 2016-05-25 |
| 1255354064 | Carol Ilma Jacobs | Nurse Practitioner | 1205 North Ave, Cleveland, WI 53015-1413 | 2006-07-25 |
| 1588620843 | Carol K Jacobs | Nurse Practitioner | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2006-04-25 |
| Street Address |
400 OGLETREE DR |
| City | LIVINGSTON |
| State | TX |
| Zip Code | 77351-6783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285697615 | Raoul Perez | Family Medicine | 400 Ogletree Dr, Suite120, Livingston, TX 77351-6783 | 2006-04-07 |
| 1275002230 | Alyson Rainey | Nurse Practitioner | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2018-11-20 |
| 1740649987 | Brenda Pagan | Nurse Practitioner | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2016-02-16 |
| 1124363866 | Megan Voltz Schneider | Nurse Practitioner | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2012-12-06 |
| 1891848297 | Livingston Pediatric Clinic Pa | Pediatrics | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2007-01-19 |
| 1033218730 | Marlo Brawner | Pediatrics | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252765 | B&g Family Dentistry Pllc | Clinic/Center | 402 S Washington Ave, Livingston, TX 77351 | 2019-06-05 |
| 1518431907 | Clinton Jarell Collins | Occupational Therapist | 1620 Us-59 N, Livingston, TX 77351 | 2019-01-18 |
| 1205318417 | Christopher Hern | Nurse Practitioner | 1717 Us-59 Loop N, Livingston, TX 77351 | 2018-09-04 |
| 1831566520 | Susan Michelle Brownfield | Occupational Therapist | 1620 Old Us Hwy 59, Livingston, TX 77351 | 2015-08-28 |
| 1346643624 | Jigneshkumar Parmar | Dentist | 1774 Us 190 West, Livingston, TX 77351 | 2014-10-01 |
| 1063827954 | Faith Whatley-torres | Behavioral Analyst | 144 Branding Iron, Livingston, TX 77351 | 2014-06-30 |
| 1427481126 | Mary Elizabeth Kuruvilla | Dentist | 184 Ashton Bend, Livingston, TX 77351 | 2013-08-16 |
| 1255772778 | Waleed Khaled Ahmad | Dentist | 117 Southpoint Lane, Suite 400, Livingston, TX 77351 | 2013-07-12 |
| 1053750679 | Jacquelyn Y Flores | Dentist | 1114 N. Washingtion Ave., Livinston, TX 77351 | 2013-06-17 |
| 1750725131 | Womans Clinic At Livingston Pllc | Radiology | 111 Emergency Dr., Ste C, Livingston, TX 77351 | 2013-04-29 |
| Find all providers in zip 77351 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093759003 | Richard Lander | Pediatrics | 203 Hillside Ave, Livingston, NJ 07039-3648 | 2006-06-16 |
| 1891848297 | Livingston Pediatric Clinic Pa | Pediatrics | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2007-01-19 |
| 1891854261 | Semel & Oana Mds | Pediatrics | 22 Old Short Hills Rd, Livingston, NJ 07039-5604 | 2006-12-08 |
| 1033218730 | Marlo Brawner | Pediatrics | 400 Ogletree Dr, Livingston, TX 77351-6783 | 2006-09-21 |
| 1588624167 | William Jay Semel | Pediatrics | 22 Old Short Hills Rd, Suite 202, Livingston, NJ 07039-5604 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
| City | LIVINGSTON |
| Zip Code | 77351 |
Please comment or provide details below to improve the information on DR. CAROL L 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.