ABRAHAM JACOB (NPI# 1679513626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679513626 |
| Entity Type | Individual |
| Full Name | ABRAHAM JACOB |
| Credential | MD |
| Practice Address |
4100 W 15th St Plano TX 75093-5803 |
| Practice Telephone | 0000000000 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
72513 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RR MCARE | P00257564 | 01 |
| TX | 159752802 | 05 | |
| TX | BLUE LINK | 4248433 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942497755 | Abraham Jacob | Physical Therapist | 5320 159th St Ste 300, Oak Forest, IL 60452-3333 | 2007-09-26 |
| 1144242587 | Abraham Jacob | Internal Medicine | 516 Delaware Street Se, Pwb Fourth Floor Room 4-100, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-07-24 |
| 1376592576 | Abraham Jacob | Otolaryngology | 1501 N Campbell Ave, Suite 5400, Tucson, AZ 85724-0001 | 2006-05-08 |
| 1093781296 | Abraham Jacob | Family Medicine | 300 Main St, Lewiston, ME 04240-7027 | 2006-02-27 |
| Street Address |
4100 W 15TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75093-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105491 | Kathy Ann Rapport | Specialist/Technologist, Other | 4100 W 15th St, Ste 208, Plano, TX 75093-5801 | 2005-06-21 |
| 1417506296 | Jaime Haidenberg | Plastic Surgery | 4100 W 15th St, Plano, TX 75093-5803 | 2019-09-05 |
| 1225500168 | Denise Butler | Nurse Practitioner | 4100 W 15th St, Plano, TX 75093-5803 | 2018-12-17 |
| 1003340043 | Neurotex Iom Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-04-17 |
| 1548709348 | Desert Iom Reads, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-02-14 |
| 1871032672 | Mckinney Iom Services, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-02-14 |
| 1811434632 | Helix Neuromonitoring, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-01-31 |
| 1679018493 | Valley Iom | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2017-01-03 |
| 1639613904 | Neuron Shield Monitoring Associates | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-12-06 |
| 1063956340 | Neuron Shield 9, LLC | Specialist/Technologist, Other | 4100 W 15th St, Suite 220, Plano, TX 75093-5803 | 2016-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174185524 | Chadi Dib Md Pa | Internal Medicine | 2905 Mountain Laurel Ln, Plano, TX 75093-4073 | 2019-07-06 |
| 1699241372 | Plano Neovascular Interventional Group Pllc | Internal Medicine | 6800 Preston Rd Ste 100, Plano, TX 75024-2505 | 2018-10-19 |
| 1205284452 | Innovative Cardiology Consultants | Internal Medicine | 1360 Star Court, Suite 317, Plano, TX 75074 | 2016-05-28 |
| 1104291897 | Taking Health To Heart, Pllc | Internal Medicine | 2916 Beauchamp Dr, Plano, TX 75093-3429 | 2015-12-06 |
| 1215303763 | Lonestar Heart and Vascular Associates | Internal Medicine | 4516 Overton Dr, Plano, TX 75074-0136 | 2015-08-19 |
| 1053690735 | Crescent Cardiology Associates | Internal Medicine | 8401 Memorial Ln, #7445, Plano, TX 75024-2285 | 2011-08-11 |
| 1295902047 | Dat Nguyen | Internal Medicine | 4701 Old Shepard Pl Ste 106, Plano, TX 75093-5297 | 2008-05-12 |
| 1891802484 | Shoei-kuen Huang | Internal Medicine | 3809 Skyline Dr, Plano, TX 75025-2034 | 2006-08-23 |
| 1720006042 | James S Rellas | Internal Medicine | 6957 W Plano Pkwy Ste 1000, Plano, TX 75093-1621 | 2006-07-17 |
| 1033167903 | Joel A Roffman | Internal Medicine | 4708 Alliance Blvd Ste 500, Plano, TX 75093-5362 | 2006-05-04 |
| Find all providers in PLANO | ||||
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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.