HAL M JACOBSON (NPI# 1669465274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669465274 |
| Entity Type | Individual |
| Full Name | HAL M JACOBSON |
| Credential | MD |
| Practice Address |
1920 Don Wickham Dr Suite130 Clermont FL 34711-1918 |
| Mailing Address |
Po Box 864460 Orlando FL 32886-0001 |
| Practice Telephone | 3522439709 |
| Practice Fax Number | 3522438703 |
| Mailing Telephone | 3522439709 |
| Mailing Fax Number | 3522438703 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2015-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME0038736 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 068606900 | 05 | |
| FL | RR MEDICARE LEESBURG | 110028619 | 01 |
| Street Address |
1920 DON WICKHAM DR SUITE130 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044496 | Jeffrey W Kanski | Specialist | 1920 Don Wickham Dr, Suite 130, Clermont, FL 34711-1918 | 2005-06-23 |
| 1396190955 | Eracare Physicians LLC | Internal Medicine | 1920 Don Wickham Dr, Suite 335, Clermont, FL 34711-1918 | 2016-05-02 |
| 1518370147 | Lake America Family Physicians LLC | Family Medicine | 1920 Don Wickham Dr, Suite 335, Clermont, FL 34711-1918 | 2014-06-11 |
| 1205124385 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1920 Don Wickham Dr, Suite 100, Clermont, FL 34711-1918 | 2011-07-11 |
| 1255582805 | Manuel Lazaro Herrera | Obstetrics & Gynecology | 1920 Don Wickham Dr, Suite 325, Clermont, FL 34711-1918 | 2008-10-01 |
| 1144488628 | Leavitt Medical Associates of Florida Inc | Dermatology | 1920 Don Wickham Dr, Suite 330, Clermont, FL 34711-1918 | 2008-05-30 |
| 1780841718 | Physician Associates LLC | Internal Medicine | 1920 Don Wickham Dr, Suite 100 & 105, Clermont, FL 34711-1918 | 2008-05-19 |
| 1265540827 | Sindhu Sony Jacob | Internal Medicine | 1920 Don Wickham Dr, Suite 325, Clermont, FL 34711-1918 | 2006-08-25 |
| 1205865433 | Inter Community Cancer Institute LLC | Radiology | 1920 Don Wickham Dr, Suite 130, Clermont, FL 34711-1918 | 2006-07-01 |
| 1801884978 | Lawrence J Campo | Internal Medicine | 1920 Don Wickham Dr, Suite 140, Clermont, FL 34711-1918 | 2005-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555274 | Eric Lamar Saunders | Radiology | 1361 Citrus Tower Blvd Ste 101, Clermont, FL 34711-1943 | 2005-08-11 |
| 1225411812 | Clermont Cancer Center, LLC | Radiology | 1361 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1924 | 2015-07-01 |
| 1205865433 | Inter Community Cancer Institute LLC | Radiology | 1920 Don Wickham Dr, Suite 130, Clermont, FL 34711-1918 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539079 | Mydoctoreb LLC | Radiology | 17407 Lotino Pl, Lutz, FL 33548-4815 | 2020-08-20 |
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1962970111 | William A Assad, M.d. | Radiology | 3202 Henderson Blvd Ste 204a, Tampa, FL 33609-3043 | 2018-11-06 |
| 1508361361 | Marian Ingram | Radiology | 350 Nw 84th Ave Ste 102, Plantation, FL 33324-1820 | 2018-03-26 |
| 1376051870 | Indian River Health Services Inc | Radiology | 3555 10th Ct Ste 101, Vero Beach, FL 32960-5013 | 2018-01-18 |
| 1417492497 | Flagler Hospital, Inc. | Radiology | 97 Health Park Blvd, Saint Augustine, FL 32086-5777 | 2016-12-29 |
| 1447614441 | Benjamin Spieler | Radiology | 1475 Nw 12th Ave # Sccc1500, Miami, FL 33136-1002 | 2016-04-06 |
| 1629461371 | Florida Oncology Tavares, LLC | Radiology | 2010 Nightingale Ln, Tavares, FL 32778-4361 | 2015-03-05 |
| 1285042036 | Gulf Region Radiation Oncology Centers | Radiology | 1545 Airport Blvd Ste 1000, Pensacola, FL 32504-8615 | 2014-07-24 |
| 1962812917 | Florida Oncology Partners LLC | Radiology | 1100 N.w. 95 Street, Cancer Center, Miami, FL 33150-2038 | 2014-04-29 |
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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.