DR. ROBERT KEITH JACKLER (NPI# 1568502839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568502839 |
| Entity Type | Individual |
| Full Name | DR. ROBERT KEITH JACKLER |
| Credential | M.D. |
| Practice Address |
801 Welch Rd Palo Alto CA 94304-1611 |
| Practice Telephone | 6507256500 |
| Mailing Telephone | 6507256500 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
G43573 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G435730 | 05 |
| Street Address |
801 WELCH RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538193792 | Benzion Joshua | Otolaryngology | 801 Welch Rd, Palo Alto, CA 94305 | 2006-07-11 |
| 1528679768 | Mohamed Abdelwahab | Otolaryngology | 801 Welch Rd, 324 Ivy Drive 94025 Menlo Park Ca, Palo Alto, CA 94304-1611 | 2020-08-12 |
| 1316567464 | Mohamed Diop | Student in an Organized Health Care Education/Training Program | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2020-04-18 |
| 1124647482 | Alice Elaine Huang | Student in an Organized Health Care Education/Training Program | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2020-04-15 |
| 1396364824 | Ki Wan Park | Student in an Organized Health Care Education/Training Program | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2020-04-14 |
| 1730708322 | Zoe Heloise Fullerton | Student in an Organized Health Care Education/Training Program | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2020-04-13 |
| 1962051581 | Raymond Kim | Otolaryngology | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2019-09-06 |
| 1417505504 | Badr Ibrahim | Otolaryngology | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2019-08-31 |
| 1356994859 | Patrick Scheffler | Otolaryngology | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2019-07-23 |
| 1518429604 | George Siyuan Liu | Student in an Organized Health Care Education/Training Program | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2019-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962845834 | Yuan Liu | Otolaryngology | 11234 Anderson St Rm 2586a, Loma Linda, CA 92354-2804 | 2013-04-10 |
| 1699017301 | Shohet Ear Associates Medical Group Inc | Otolaryngology | 770 Pacific Coast Hwy, Seal Beach, CA 90740-6379 | 2013-03-20 |
| 1801152665 | Center for Fall Prevention, A Medical Corporation | Otolaryngology | 3831 Hughes Ave Ste 608, Culver City, CA 90232-6851 | 2012-04-05 |
| 1700151909 | Stuart Gerard Gherini | Otolaryngology | 1056 38th St, Sacramento, CA 95816-5513 | 2012-03-20 |
| 1144420738 | Shohet Ear Associates Medical Group Inc | Otolaryngology | 446 Old Newport Beach Blvd, Shohet Ear Associates Medical Group Inc, Newport Beach, CA 92663-4246 | 2007-07-20 |
| 1952426017 | Hernan Goldsztein | Otolaryngology | 530 Lomas Santa Fe Dr Ste 1, Solana Beach, CA 92075-1350 | 2007-03-20 |
| 1932253960 | Hana T. Bui, Md, A Professional Corporation | Otolaryngology | 1321 N Harbor Blvd Ste 101, Fullerton, CA 92835-4129 | 2007-01-23 |
| 1508876699 | Derald E Brackmann | Otolaryngology | 2100 W 3rd St Ste 111, Los Angeles, CA 90057-1999 | 2006-08-09 |
| 1629075635 | John Steven Oghalai | Otolaryngology | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2005-07-05 |
| 1356344022 | Kevin X Mckennan | Otolaryngology | 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314 | 2005-05-24 |
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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.