PAUL ANDERS JACOBSON (NPI# 1629074190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629074190 |
| Entity Type | Individual |
| Full Name | PAUL ANDERS JACOBSON |
| Credential | M.D. |
| Practice Address |
701 W Front St Suite 100 Traverse City MI 49684-2236 |
| Practice Telephone | 2319350800 |
| Practice Fax Number | 2319350808 |
| Mailing Telephone | 2319350800 |
| Mailing Fax Number | 2319350808 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
4301076134 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 0B81023 | 01 |
| MI | 4212842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912180548 | Paul F Jacobson | Marriage & Family Therapist | 221-b S. Lenore Avenue, Willits, CA 95490 | 2007-12-05 |
| 1821131780 | Paul Allen Jacobson | Psychiatry & Neurology | 4044 W Lake Mary Blvd, #410, Lake Mary, FL 32746-2012 | 2007-02-14 |
| 1568448579 | Paul Kenneth Jacobson | Family Medicine | 924 1st St Ne, Faribault, MN 55021-5441 | 2005-12-21 |
| 1699757021 | Paul V Jacobson | Physician Assistant | Winn Army, Ft Stewart, GA 31314 | 2005-11-21 |
| 1720114598 | Paul Allen Jacobson | Family Medicine | 1300 Kurt Dr, Suite 104, Angels Camp, CA 95222 | 2007-02-26 |
| Street Address |
701 W FRONT ST SUITE 100 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701460 | Mark Stanton Leslie | Orthopaedic Surgery | 701 W Front St, Suite 100, Traverse City, MI 49684-2287 | 2005-06-21 |
| 1548560188 | Grand Traverse Primary Care Plc | Family Medicine | 701 W Front St, Ste 200, Traverse City, MI 49684-2236 | 2010-10-29 |
| 1063601698 | Hand Surgery of Northern Michigan Plc | Durable Medical Equipment & Medical Supplies | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2007-10-19 |
| 1255549895 | Danielle A Conaway | Orthopaedic Surgery | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2007-05-18 |
| 1356487870 | Hand Surgery of Northern Michigan Plc | Orthotic Fitter | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2007-01-30 |
| 1619029923 | Hand Surgery of Northern Michigan Plc | Physical Therapist | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2007-01-17 |
| 1326062647 | Karen A. Lewit | Occupational Therapist | 701 W Front St, Ste 100, Traverse City, MI 49684-2287 | 2006-07-27 |
| 1497778765 | Hand Surgery of Northern Michigan Plc | Physical Therapist | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2006-07-26 |
| 1730142035 | Patsy A Friedlander | Occupational Therapist | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2006-04-08 |
| 1366404972 | Kathryn S Holtfreter | Occupational Therapist | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2006-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992701460 | Mark Stanton Leslie | Orthopaedic Surgery | 701 W Front St, Suite 100, Traverse City, MI 49684-2287 | 2005-06-21 |
| 1255549895 | Danielle A Conaway | Orthopaedic Surgery | 701 W Front St, Suite 100, Traverse City, MI 49684-2236 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
| 1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
| 1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
| 1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
| 1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
| 1386651487 | B Kent Maupin Md PC | Orthopaedic Surgery | 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 | 2006-08-02 |
| 1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
| 1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
| 1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
| 1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.