DR. MICHAEL JOSEPH JACOBS (NPI# 1619123726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619123726 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOSEPH JACOBS |
| Credential | APRN FNP-C ENP-C DNP |
| Practice Address |
10640 Gateway Blvd N Ste B El Paso TX 79924-1700 |
| Mailing Address |
8512 Edgar Park Ave El Paso TX 79904-3781 |
| Practice Telephone | 9153074631 |
| Practice Fax Number | 9153733683 |
| Mailing Telephone | 9154914041 |
| Enumeration Date | 2008-08-09 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
577699 | TX | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP117607 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP01504 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 200290904 | 05 | |
| TX | MEDICARE IDENTIFICATION NUMBER | TXB138841 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5001 N Piedras St, El Paso, TX 799304210 | 9155646100 | |
| 1651 Joe Battle Blvd, El Paso, TX 799360970 | 9158499010 | 9158499012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996694 | Michael A Jacobs | Psychologist | 711 Marys Dr, Brick, NJ 08723-4213 | 2020-03-10 |
| 1144643859 | Michael Jacobs Sr. | Counselor | 351 Atlantic Ave, Massapequa Park, NY 11762-1627 | 2014-01-31 |
| 1225377823 | Michael Jacobs | Emergency Medicine | 416 Doral Dr, Cherry Hill, NJ 08003-3320 | 2013-02-04 |
| 1609135482 | Michael Winston Jacobs | Pharmacist | 1013 Monticello Ln, Lancaster, PA 17601 | 2012-05-14 |
| 1194881920 | Michael E Jacobs | Internal Medicine | 364 State Rd, Vineyard Haven, MA 02568-5624 | 2006-12-28 |
| 1538271325 | Michael Thomas Jacobs | Chiropractor | 2727 Roosevelt St Ste B, Carlsbad, CA 92008-1617 | 2006-08-31 |
| 1821101684 | Michael E. Jacobs | Optometrist | 573 Five Cities Dr, Pismo Beach, CA 93449-3005 | 2006-08-16 |
| 1750398046 | Michael Jacobs | Dentist | 1509 N State Road 7, Suite H, Margate, FL 33063-5731 | 2006-08-01 |
| 1164495693 | Michael Scott Jacobs | Ophthalmology | 1080 Vend Dr, Suite 100, Watkinsville, GA 30677-7751 | 2006-02-07 |
| 1053300913 | Michael B Jacobs | Internal Medicine | 3017 W Charleston Blvd, Suite 60, Las Vegas, NV 89102-1927 | 2005-10-13 |
| Street Address |
10640 GATEWAY BLVD N STE B |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1568062172 | Cinthia B Gomez | Nurse Practitioner | 8401 Edgemere Blvd, El Paso, TX 79925-3922 | 2020-11-01 |
| 1407456072 | Aurora Nichole Apodaca | Nurse Practitioner | 748 Tepic Dr, El Paso, TX 79912-1704 | 2020-10-31 |
| 1043818412 | Ricardo Serrano | Nurse Practitioner | 4300 Bliss Ave, El Paso, TX 79903-1832 | 2020-10-16 |
| 1841897212 | Olivia Silva Juarez | Nurse Practitioner | 617 Paseo Hermoso Dr, El Paso, TX 79928-8419 | 2020-10-07 |
| 1609480540 | Norma M Vega | Nurse Practitioner | 6974 Gateway Blvd E Ste Y, El Paso, TX 79915-1118 | 2020-09-08 |
| 1952914087 | Danika Nikole Davila | Nurse Practitioner | 3270 Joe Battle Blvd Ste 245, El Paso, TX 79938-2651 | 2020-08-28 |
| 1841803095 | Joshua Neal Crawford | Nurse Practitioner | 10615 Sombra Verde Dr, El Paso, TX 79935-3612 | 2020-08-27 |
| 1902419294 | Belinda Esperanza Walker | Nurse Practitioner | 3405 Moonlight Ave, El Paso, TX 79904-1024 | 2020-08-26 |
| 1487264198 | Venessa Jean Tellez | Nurse Practitioner | 10800 Walden Pond St, El Paso, TX 79924-2407 | 2020-08-06 |
| Find all providers in EL PASO | ||||
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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.