MICAH A JACOBS (NPI# 1639118631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639118631 |
| Entity Type | Individual |
| Full Name | MICAH A JACOBS |
| Credential | M.D. |
| Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2144567255 |
| Mailing Telephone | 2144567255 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 226084 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | N9074 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386845022 | Micah Abram Jacobs | Internal Medicine | 9104 Babcock Blvd, Suite 6118, Pittsburgh, PA 15237-5818 | 2007-05-30 |
| Street Address |
5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
| 1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
| 1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
| 1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
| 1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
| 1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
| 1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
| 1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
| 1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| 1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| 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 |
|---|---|---|---|---|
| 1750708061 | Boston Medical Group - Texas, P.a. | Urology | 12801 N Central Expy Ste 1107, Dallas, TX 75243-1893 | 2014-03-25 |
| 1033553409 | Andrew Yang Sun | Urology | 1411 N Beckley Ave Ste 464, Dallas, TX 75203-1268 | 2013-04-29 |
| 1518229046 | Dayron Rodriguez | Urology | Ut Southwestern Department of Urology, 5323 Harry Hines Blvd. Ja5.120, Dallas, TX 75235 | 2012-06-11 |
| 1679830442 | Brett Allen Johnson | Urology | 2001 Inwood Dr Urology - Ut Southwestern Medical Center, Dallas, TX 75390-0001 | 2012-04-18 |
| 1588930200 | Ted Daniel Klein | Urology | 7777 Forest Ln Ste C618, Dallas, TX 75230-6855 | 2012-03-27 |
| 1023309986 | Tolulope Bakare | Urology | 2001 Inwood Rd Bldg 3, Dallas, TX 75390-7202 | 2011-04-27 |
| 1457599334 | The Urology Institute Frsico | Urology | 9 Medical Pkwy Ste 307, Dallas, TX 75234-7855 | 2009-01-30 |
| 1972756815 | Arthur Walter Shannon | Urology | 3851 Potomac, Dallas, TX 75205 | 2008-10-23 |
| 1265612493 | Allen Plotkin | Urology | 8 Crownwood Ct, Dallas, TX 75225-2068 | 2007-11-05 |
| 1720157365 | Craig Andrew Peters | Urology | 2350 N. Stemmons Freeway, Suite F4300, Dallas, TX 75207 | 2006-11-07 |
| Find all providers in DALLAS | ||||
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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.