JACK MERLIN JACOBSON (NPI# 1629050323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629050323 |
| Entity Type | Individual |
| Full Name | JACK MERLIN JACOBSON |
| Credential | M.D. |
| Practice Address |
511 Oakwood Blvd Suite 103 Round Rock TX 78681-4007 |
| Practice Telephone | 5122440161 |
| Practice Fax Number | 5122447814 |
| Mailing Telephone | 5122440161 |
| Mailing Fax Number | 5122447814 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | C6380 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
511 OAKWOOD BLVD SUITE 103 |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78681-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689661993 | Judith M Crowley | Nurse Anesthetist, Certified Registered | 511 Oakwood Blvd, Suite 102, Round Rock, TX 78681-4007 | 2005-10-03 |
| 1740458876 | Kimberly Wills Coates M.d. | Specialist | 511 Oakwood Blvd, Suite 200, Round Rock, TX 78681-4007 | 2008-02-11 |
| 1760692925 | Oakwood Women's Centre, P.a. | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 301, Round Rock, TX 78681-4068 | 2007-05-23 |
| 1356480669 | Mark Edward Maunder | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 301, Round Rock, TX 78681-4068 | 2007-02-05 |
| 1104965417 | Paul Bridges Murphree Jr. | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 301, Round Rock, TX 78681-4068 | 2007-02-05 |
| 1366581670 | Michael Tankersley Fitzpatrick | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 301, Round Rock, TX 78681-4068 | 2007-02-05 |
| 1134268451 | Susan Elizabeth Orth | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 301, Round Rock, TX 78681-4068 | 2007-02-05 |
| 1417096728 | Karen Lea Southmayd | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 301, Round Rock, TX 78681-4068 | 2007-02-05 |
| 1699838755 | Kimberly Willis Coates | Obstetrics & Gynecology | 511 Oakwood Blvd, Suite 200, Round Rock, TX 78681-4007 | 2006-12-19 |
| 1750398384 | Kenneth Lee Armstrong | Family Medicine | 511 Oakwood Blvd, Suite 103, Round Rock, TX 78681-4007 | 2006-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009912 | Sarah Spinelli | Orthotist | 555 D Round Rock West Drive, Suite 100, Round Rock, TX 78681 | 2020-09-23 |
| 1427663673 | Aparna Kandimalla | Pharmacist | 800 West Old Settlers, Round Rock, TX 78681 | 2020-09-14 |
| 1366088700 | Lilian Abeh Tayong | Nurse Practitioner | 1750 Round Rock Ave, Suite 200, Round Rock, TX 78681 | 2019-11-20 |
| 1427513654 | Pain Treatment Centers of America, Pllc | Pain Medicine | 511 Oakwood Boulevard, Suite 200, Round Rock, TX 78681 | 2019-02-01 |
| 1841768991 | Maricruz Luna | Counselor | 2509 Arbor Ct, Round Rock, TX 78681 | 2018-11-07 |
| 1497230411 | Kimberly A Dunn | Registered Nurse | 2206 Falkirk Dr, Round Rock, TX 78681 | 2018-09-25 |
| 1023591435 | Brooke D. Peplinski, Lpc, Ncc, Pllc | Counselor | 600 Round Rock West Drive #305, Round Rock, TX 78681 | 2018-09-11 |
| 1336649995 | Amanda Beth Ming | Chiropractor | 2000 S Ih 35 Ste H-1, Round Rock, TX 78681 | 2018-02-20 |
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1487193116 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3000 Rm 1461, Round Rock, TX 78681 | 2017-02-14 |
| Find all providers in zip 78681 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345821 | Stacy Eileen Ong | Urology | 970 Hesters Crossing Rd, Suite 101, Round Rock, TX 78681-8027 | 2005-06-13 |
| 1477969673 | Juzar Jamnagerwalla | Urology | 302 University Blvd, Round Rock, TX 78665-1032 | 2014-07-08 |
| 1740605955 | Juan Carlos Herrera | Urology | 302 University Blvd, Round Rock, TX 78665-1032 | 2014-02-25 |
| 1073957510 | Win Shun Lai | Urology | 302 University Blvd, Round Rock, TX 78665 | 2013-04-27 |
| 1952662280 | Ashley Nava Hadaway | Urology | 302 University Blvd, Round Rock, TX 78665-1032 | 2012-06-04 |
| 1972860096 | Ilana Michal Mendelow | Urology | 300 University Blvd, Round Rock, TX 78665-1032 | 2012-04-13 |
| 1760674253 | Sandeep G. Mistry, Md, Pa | Urology | 1000 Hesters Crossing, Ste 300, Round Rock, TX 78681 | 2007-08-17 |
| 1083823785 | Christopher Yang | Urology | 970 Hesters Crossing Rd, Suite 101, Round Rock, TX 78681-8027 | 2007-05-21 |
| 1104039916 | Sandeep G Mistry | Urology | 970 Hesters Crossing Rd, Suite 101, Round Rock, TX 78681-8027 | 2007-05-08 |
| 1639207558 | Urology Associates of Williamson County | Urology | 4112 Links Lane, Suite 103, Round Rock, TX 78664 | 2007-03-01 |
| Find all providers in ROUND ROCK | ||||
| City | ROUND ROCK |
| Zip Code | 78681 |
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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.