DR. JACOB WILLIAM JORGENSEN (NPI# 1548896491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548896491 |
Entity Type | Individual |
Full Name | DR. JACOB WILLIAM JORGENSEN |
Credential | M.D. |
Practice Address |
154 Black Powder Cir Folsom CA 95630-3415 |
Practice Telephone | 9168041155 |
Mailing Telephone | 9168041155 |
Enumeration Date | 2020-03-22 |
Last Update Date | 2020-03-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
135292 | NY | Allopathic & Osteopathic Physicians |
Street Address |
154 BLACK POWDER CIR |
City | FOLSOM |
State | CA |
Zip Code | 95630-3415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
Find all providers in zip 95630 |
Taxonomy Code | 207ZC0006X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Clinical Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568073351 | Frank Connors | Pathology | 555 S Los Robles Ave Apt 1, Pasadena, CA 91101-3241 | 2020-08-14 |
1083233407 | Super Lab Diagnostics Inc | Pathology | 11755 Victory Blvd Ste 250, North Hollywood, CA 91606-3481 | 2020-04-15 |
1457773608 | Ian Finn | Pathology | 12786 Salmon River Rd, San Diego, CA 92129-3553 | 2014-01-07 |
1760820518 | William Joseph Keenan | Pathology | 408 Sunrise Ave, Suite 1, Roseville, CA 95661 | 2013-06-13 |
1972801926 | Richard Deane Hockett Jr. | Pathology | 10520 Wateridge Cir, San Diego, CA 92121-5782 | 2011-02-28 |
1043531056 | Edward Taylor Sittler | Pathology | 680 2nd St, San Francisco, CA 94107 | 2010-06-14 |
1942536123 | Tara Ann Saunders | Pathology | 505 Parnassus Ave M580, San Francisco, CA 94143 | 2009-10-23 |
1992031132 | Victory Care Inc | Pathology | 2131 Elks Dr Ste 103, San Bernardino, CA 92404-5571 | 2009-10-22 |
1215174503 | Alan L.ee Epstein | Pathology | Usc Keck School of Medicine, 2011 Zonal Avenue, Hmr 205, Los Angeles, CA 90089-0001 | 2009-01-08 |
1265686109 | Faculty Physicians and Surgeons of Llusm | Pathology | 11234 Anderson St Ste 1617, Loma Linda, CA 92354-2804 | 2008-11-05 |
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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.