JOHN P JACOBS (NPI# 1568454163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568454163 |
| Entity Type | Individual |
| Full Name | JOHN P JACOBS |
| Credential | M.D. |
| Practice Address |
1401 Chester Blvd Richmond IN 47374-1908 |
| Mailing Address |
225 E North St Apt 505 Indianapolis IN 46204-1334 |
| Practice Telephone | 7659833168 |
| Practice Fax Number | 7659833275 |
| Mailing Telephone | 3179559747 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
01045864 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PIN | 000000588411 | 01 |
| IN | GROUP MEDICAID | 100194370 | 01 |
| IN | GROUP NPI | 1487680518 | 01 |
| IN | GROUP MEDICAID | 200288740 | 01 |
| IN | 200109120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801441 | John Jacobs II | Chiropractor | 607a N Military St, Loretto, TN 38469-2341 | 2016-02-17 |
| 1497184378 | John Jacobs IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2013-11-01 |
| 1174671804 | John R Jacobs | Psychiatry & Neurology | 1600 Candia Rd, Manchester, NH 03109-5512 | 2007-01-08 |
| 1750483517 | John William Jacobs | Psychiatry & Neurology | 180 East 79th Street, 1d, New York, NY 10021 | 2006-09-02 |
| 1588676050 | John Yaghoubieh Jacobs | Optometrist | 5657 Wilshire Blvd, 130, Los Angeles, CA 90036-3736 | 2006-08-13 |
| 1619910825 | John Mccormick Jacobs | Social Worker | 76 Jimmy Leeds Road, Suite 202, Galloway, NJ 08205 | 2006-06-14 |
| 1336147115 | John Timothy Jacobs | Pharmacist | 2701 Austin Ave, Brownwood, TX 76801-5834 | 2005-07-14 |
| 1972160059 | John Patrick Jacobs | Specialist | 1201 Broad Rock Blvd, Richmond, VA 23249-4915 | 2019-05-23 |
| 1336679430 | John Christopher Jacobs Jr. | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2017-06-13 |
| 1427205996 | John A Jacobs | Dietitian, Registered | 100 John Roemmelt Dr, Suite 202, Horseheads, NY 14845-8301 | 2008-08-26 |
| Street Address |
1401 CHESTER BLVD |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740468479 | George Henry Myers Jr. | Urology | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2008-02-05 |
| 1720275340 | Lou A Lindamood | General Acute Care Hospital | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2007-09-27 |
| 1063604700 | Jeremy Ryan Vories | Occupational Therapist | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2007-08-16 |
| 1528120565 | Abagail Evonne Coates | Specialist/Technologist | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2006-12-15 |
| 1942362967 | Mandi Kianne Lee | Specialist/Technologist | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2006-12-15 |
| 1639230667 | Richard Christopher Johnson | Occupational Therapist | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2006-12-13 |
| 1386705457 | Brian Edmund Steele | Specialist/Technologist | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2006-12-13 |
| 1770643223 | Theresa Ann Wright-reed | Specialist/Technologist | 1401 Chester Blvd, Rehab, Richmond, IN 47374-1908 | 2006-12-12 |
| 1932287240 | Dan Thomas | Dietitian, Registered | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2006-11-02 |
| 1053499376 | Janelle Lah | Dietitian, Registered | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836953 | Raj Singh | Radiology | Vcu Department of Radiation Oncology, 980058, 1250 E. Marshall Street, Richmond, VA 23298-0058 | 2018-03-26 |
| 1225200132 | Timothy J Harris | Radiology | 401 College Street, Richmond, VA 23298-0058 | 2008-03-31 |
| 1407881907 | Commonwealth Primary Care | Radiology | 1109 West Marshall Street, Richmond, VA 23220 | 2006-07-12 |
| 1124009600 | Bernard Alvan Tisdale | Radiology | 1109 W Marshall St, Richmond, VA 23220-3835 | 2005-11-10 |
| 1801206818 | Christopher Chipko | Radiology | 9101 Stony Point Dr, Richmond, VA 23235 | 2014-04-29 |
| 1689094930 | Hann-hsiang Chao | Radiology | 401 College St, Richmond, VA 23298-5017 | 2014-04-24 |
| 1235497967 | Nicholas Anthony Serrano | Radiology | 401 College St, Richmond, VA 23298-5017 | 2012-05-01 |
| 1356608434 | Joseph Daniel Pennington | Radiology | 9101 Stony Point Dr, Richmond, VA 23235 | 2012-04-13 |
| 1629393186 | Matthew E Schutzer | Radiology | 1201 Broad Rock Blvd, Dept of Radiation Oncology, Mcguire Vamc, Richmond, VA 23224-4915 | 2010-03-28 |
| 1356505291 | Alfredo I Urdaneta | Radiology | 401 College St, Ronc: Radiation Oncology, Richmond, VA 23298-5017 | 2008-07-10 |
| Find all providers in RICHMOND | ||||
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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.