DR. JONATHAN JACOBS


Address: Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001
Phone: 9014485364

DR. JONATHAN JACOBS (NPI# 1700082948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700082948
Entity Type Individual
Full Name DR. JONATHAN JACOBS
Credential M.D.
Practice Address Ut College of Medicine 920 Madison Ave
Suite C50
Memphis
TN 38163-0001
Mailing Address 1875 Vinton Ave
Memphis
TN 38104-5230
Practice Telephone 9014485364
Mailing Telephone 9012914900
Enumeration Date 2007-06-25
Last Update Date 2017-01-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 45453 TN Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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1730685447 Jonathan Levi Jacobs Student in an Organized Health Care Education/Training Program 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 2018-04-02
1649773185 Jonathan Jacobs Emergency Medical Technician, Paramedic 707 Sheridan Ave, Cody, WY 82414-3409 2018-03-12
1912155193 Jonathan Patrick Jacobs Student in an Organized Health Care Education/Training Program 757 Westwood Plz, Los Angeles, CA 90095-8358 2008-08-31
1942397021 Jonathan L Jacobs Internal Medicine 525 E 68th St, New York, NY 10021-4870 2006-10-09
1023123668 Jonathan S Jacobs Plastic Surgery 1037 First Colonial Rd, Virginia Beach, VA 23454-3037 2006-08-21
1114919917 Jonathan M. Jacobs Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17

Office Location

Street Address UT COLLEGE OF MEDICINE 920 MADISON AVE
SUITE C50
City MEMPHIS
State TN
Zip Code 38163-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710191812 Ashley Suzanne Ramsey Dentist Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 2007-05-09
1851566475 Kelley Smith Potts Radiology Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 2008-04-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801367537 Stacie Nicole Yocom Pediatrics 853 Jefferson Ave Route E206, Memphis, TN 38163 2018-12-06
1639651052 Angela Renae Haynes Dental Hygienist 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 2018-09-01
1700362613 Ibrahim Ortanca Student in an Organized Health Care Education/Training Program University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 2018-07-13
1619469103 Julia Christine Cook Student in an Organized Health Care Education/Training Program University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 2018-05-31
1104359058 Malik Fakhar Student in an Organized Health Care Education/Training Program 960 Madison Ave, 447, Memphis, TN 38163 2017-04-07
1215319322 Yousef Abdel-aziz Student in an Organized Health Care Education/Training Program 956 Court Avenue Suite G310b, Memphis, TN 38163 2015-06-25
1770963746 Ayman Al Dayeh Dentist 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 2015-06-04
1952789430 Mark Iltis Student in an Organized Health Care Education/Training Program 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 2015-05-15
1700129780 Mohammad Elballat Student in an Organized Health Care Education/Training Program 956 Court Ave Suite H314a, Memphis, TN 38163 2013-03-28
1932468204 Evan Neal Paul Student in an Organized Health Care Education/Training Program 910 Madison Avenue, Suite 1031, Memphis, TN 38163 2012-05-08
Find all providers in zip 38163

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285015453 Taylor Aglio Pediatrics 49 N Dunlap St # 131, Memphis, TN 38103-2802 2015-06-14
1326434465 Amanda Green Pediatrics 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 2015-04-15
1366844490 Gerard Joseph Billmeier Jr. Pediatrics 6465 Massey Lane, Memphis, TN 38120-3307 2014-09-19
1316348089 James Levernier Pediatrics 4781 Park Ave, Memphis, TN 38117-5623 2014-09-11
1124454657 Walter Thompson Hughes Jr. Pediatrics 854 River Park Dr, Memphis, TN 38103-0804 2013-09-16
1518301084 Jennifer Lauren Miller Pediatrics 6401 Poplar Ave Ste 610, Memphis, TN 38119-4806 2013-04-26
1447506365 Nickhill Hitesh Bhakta Pediatrics 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 2012-07-29
1477845451 Emilee Adelyn Dobish Pediatrics 850 Poplar Ave, Building 2, Memphis, TN 38103 2011-05-09
1366748055 Silpa Peravali Pediatrics Lebonheur Childrens Hospital, 848 Adams Avenue, Memphis, TN 38103 2011-01-28
1275854259 Melissa Ruth Hines Pediatrics 262 Danny Thomas Pl # Ms 734, Division of Pediatric Critical Care, Memphis, TN 38105-3678 2010-06-14
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38163

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Dataset Information

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.

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