TIMOTHY DOUGLAS JACOB (NPI# 1679500813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679500813 |
| Entity Type | Individual |
| Full Name | TIMOTHY DOUGLAS JACOB |
| Credential | MD |
| Practice Address |
9104 Babcock Blvd Suite 3111 Pittsburgh PA 15237 |
| Practice Telephone | 4123645490 |
| Practice Fax Number | 4123645493 |
| Mailing Telephone | 4123645490 |
| Mailing Fax Number | 4123645493 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD042446L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH AMERICA | F80821 | 01 | |
| PA | 0014797690006 | 05 | |
| UPMC | 102805 | 01 | |
| PA | BLUE CROSS | 770837 | 01 |
| Street Address |
9104 BABCOCK BLVD SUITE 3111 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667679 | Tri Rivers Surgical Associates, Inc | Orthopaedic Surgery | 9104 Babcock Blvd, Ste 2120, Pittsburgh, PA 15237-5818 | 2005-05-23 |
| 1417502063 | Dimitrios Papadopoulos | Orthopaedic Surgery | 9104 Babcock Blvd, Pittsburgh, PA 15237-5818 | 2019-08-09 |
| 1700342623 | Colette Carolann Eule | Physician Assistant | 9104 Babcock Blvd, Pittsburgh, PA 15237-5818 | 2019-02-15 |
| 1043752116 | Romano Pontzer & Associates Limited | Internal Medicine | 9104 Babcock Blvd, Ste 6118, Pittsburgh, PA 15237-5818 | 2016-11-07 |
| 1992158414 | Natalia Doroshenko | Physician Assistant | 9104 Babcock Blvd, Suite 6104, Pittsburgh, PA 15237-5818 | 2016-07-20 |
| 1881087005 | Upmc Community Medicine Inc | Non-Pharmacy Dispensing Site | 9104 Babcock Blvd, Suite 6111, Pittsburgh, PA 15237-5818 | 2015-03-12 |
| 1487045613 | Eric Joseph Cheponis | Physician Assistant | 9104 Babcock Blvd, Suite 2120, Pittsburgh, PA 15237-5818 | 2015-02-10 |
| 1841690542 | Upmc Multispecialty Group Inc | Orthopaedic Surgery | 9104 Babcock Blvd, Suite 2120, Pittsburgh, PA 15237-5818 | 2014-08-29 |
| 1053710228 | Muayad Kadhim | Orthopaedic Surgery | 9104 Babcock Blvd, Pittsburgh, PA 15237-5818 | 2014-08-13 |
| 1386053437 | Issei Komatsu | Orthopaedic Surgery | 9104 Babcock Blvd, Suite 5113, Pittsburgh, PA 15237-5818 | 2014-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701347 | Ann Elizabeth Patterson | Internal Medicine | 5700 Corporate Drive Suite 410, Pittsburgh, PA 15237 | 2019-10-14 |
| 1548801335 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 100 Ross Park Mall Dr, Suite A07a, Pittsburg, PA 15237 | 2019-10-02 |
| 1619529286 | Tracey Willis | Nurse Practitioner | 9101 Babcock Blvd, Pittsburgh, PA 15237 | 2019-07-12 |
| 1285295899 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 8950 Duncan Ave, Pittsburg, PA 15237 | 2019-06-25 |
| 1295235745 | Lauren Wehr | Speech-Language Pathologist | 6000 Babcock Blvd Ste 103, Pittsburgh, PA 15237 | 2018-02-20 |
| 1497255822 | Christine Spera | Registered Nurse | 9100 Babcock Blvd Fl 2, Pittsburgh, PA 15237 | 2018-02-12 |
| 1790204295 | Cathy Reed | Nurse Practitioner | 8305 Mcknight Rd, Pittsburgh, PA 15237 | 2017-09-15 |
| 1184150005 | Jodie Elizabeth Luther | Dentist | 8035 Mcknight Rd Ste 201, Pittsburgh, PA 15237 | 2017-05-11 |
| 1811434905 | Hacer Diler | Physical Therapist | 7045 Bennington Woods Dr, Pittsburgh, PA 15237 | 2017-01-26 |
| 1174079305 | Preethi Kuknooru | Dentist | 1709 Teal Trce, Pittsburgh, PA 15237 | 2016-08-28 |
| Find all providers in zip 15237 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916833 | Allegheny Clinic | Surgery | 4815 Liberty Avenue Suite 215, Pittsburgh, PA 15224-2156 | 2019-08-05 |
| 1538725700 | Golla Ent | Surgery | 107 Gamma Dr Ste 110, Pittsburgh, PA 15238-2917 | 2019-05-14 |
| 1891271193 | Oday Obaid | Surgery | 320 E North Ave Rm 185, Pittsburgh, PA 15212-4756 | 2018-07-19 |
| 1962852517 | Andres Enrique Monserrate | Surgery | 611 William Penn Pl Apt 2106, Pittsburgh, PA 15219-6910 | 2016-06-14 |
| 1043604986 | Caitlin P Olson | Surgery | 203 Lothrop St Ste 300, Pittsburgh, PA 15213-2548 | 2015-03-27 |
| 1184038838 | Kristina Demaster | Surgery | 206 S Winebiddle St # 2, Pittsburgh, PA 15224-1681 | 2014-06-19 |
| 1639581309 | Brian Yoo | Surgery | Lpmc Hillman Cancer Center, 5115 Centre Ave, Pittsburgh, PA 15232 | 2014-05-28 |
| 1871903542 | John Halerd Goodworth | Surgery | 19 Woodbrook Dr, Pittsburgh, PA 15215-1543 | 2014-05-05 |
| 1184052474 | Arash Samiei | Surgery | 8 Allegheny Ctr, Apt 706, Pittsburgh, PA 15212-5244 | 2013-10-23 |
| 1609219781 | Heather Emmalee Hoops | Surgery | 3550 Terrace Street Scaife Hall Room 651, Pittsburgh, PA 15261-3011 | 2013-04-09 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15237 |
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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.