MARTIN P JACOBS (NPI# 1659327534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659327534 |
| Entity Type | Individual |
| Full Name | MARTIN P JACOBS |
| Credential | MD |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Mailing Address |
Po Box 292796 Kettering OH 45429-8796 |
| Practice Telephone | 9372967211 |
| Mailing Telephone | 6144305726 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35.048988 | OH | Allopathic & Osteopathic Physicians |
| Y | 207U00000X | Nuclear Medicine | 35.048988 | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35048988 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0629921 | 05 | |
| MEDICARE RAILROAD | 360003354 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083753271 | Martin Allen Jacobs | Psychologist | 10 Concord Road, Sunbury, MA 01776-0095 | 2007-02-05 |
| 1548285604 | Martin D Jacobs | Specialist | 652 Interstate Pkwy, Bradford, PA 16701-2935 | 2006-07-12 |
| 1841375631 | Martin Jacobs | Psychologist | 713 Central Ave, Woodmere, NY 11598 | 2006-10-27 |
| 1720198849 | Martin S Jacobs | Oral & Maxillofacial Surgery | 180 Ramapo Valley Rd, Oakland, NJ 07436 | 2006-08-30 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| 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 Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386116473 | Christopher Charles Federer | Nuclear Medicine | 1570 Preston Ave, Akron, OH 44305-3546 | 2018-12-30 |
| 1609385566 | Krystal Clark | Nuclear Medicine | 6960 Erie Dr, Maineville, OH 45039-5105 | 2017-09-22 |
| 1811130677 | Floro Deo Miraldi | Nuclear Medicine | 3116 Fairmount Blvd, Cleveland Heights, OH 44118-4102 | 2009-04-09 |
| 1528241072 | George Oswald Faerber | Nuclear Medicine | 7547 Dublin Rd, Delaware, OH 43015-9237 | 2007-12-06 |
| 1255378196 | Mark Brejt | Nuclear Medicine | 3621 Severn Rd, Cleveland, OH 44118-1906 | 2006-05-31 |
| 1295722858 | Orduen Abunku | Nuclear Medicine | 8351 Country Oaks Sta, West Chester, OH 45069-2769 | 2005-09-29 |
| 1952660094 | Norbert E Avril | Nuclear Medicine | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2012-05-10 |
| 1407161110 | University Hospitals Medical Group, Inc. | Nuclear Medicine | 960 Clague Rd, Westlake, OH 44145-1582 | 2010-08-18 |
| 1174835003 | Prashant Jolepalem | Nuclear Medicine | 25875 Science Park Dr # Ac116, Beachwood, OH 44122-7304 | 2010-07-08 |
| 1922330703 | University Hospitals Medical Group, Inc. | Nuclear Medicine | 701 Tyler St, Sandusky, OH 44870-3321 | 2010-02-04 |
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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.