MS. MARY BETH JACOBSON (NPI# 1700425154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700425154 |
| Entity Type | Individual |
| Full Name | MS. MARY BETH JACOBSON |
| Credential | PA-C |
| Practice Address |
2192 Lewis Dr Lakewood OH 44107-6141 |
| Practice Telephone | 2162215182 |
| Mailing Telephone | 2162244366 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417206418 | Mary Elisabeth Jacobson | Developmental Therapist | 725 N Church St, Gibson City, IL 60936-1125 | 2012-09-05 |
| 1790833549 | Mary Jacobson | Optometrist | 307 Golf Mill Ctr, Niles, IL 60714-1217 | 2007-01-08 |
| 1992817928 | Mary Beth Jacobson | Physical Therapy Assistant | E11016a Groth Rd, North Freedom, WI 53951-9727 | 2006-08-31 |
| 1972517753 | Mary E Jacobson | Counselor | Water Street, Ft Ashby, WV 26719-0423 | 2006-07-28 |
| 1912524976 | Mary Jacobson | Counselor | 300 4th St N, La Crosse, WI 54601-3228 | 2020-06-25 |
| 1891012274 | Mary Amanda Jacobson | Physical Therapist | 1829 E Franklin St, Blg 600, Chapel Hill, NC 27514-5861 | 2010-04-26 |
| 1952443913 | Mary Jacobson | Obstetrics & Gynecology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-02-13 |
| Street Address |
2192 LEWIS DR |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-6141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1891394334 | Robert Clower | Physician Assistant | 285 Zang St Apt I2832, Lakewood, CO 80228-1032 | 2020-10-24 |
| 1639778277 | Lindsay Marie Schulz Mustard | Physician Assistant | 7293 W Kentucky Dr Apt B, Lakewood, CO 80226-4920 | 2020-10-24 |
| 1316552946 | Madelynn Lea Fretto | Physician Assistant | 101 Prospect St Ste 107, Lakewood, NJ 08701-5003 | 2020-09-10 |
| 1467075309 | Allison Mckinney | Physician Assistant | 1471 Newman Ave, Lakewood, OH 44107-5117 | 2020-05-27 |
| 1598392466 | Pauline Imelda Salguero | Physician Assistant | 4202 Maybank Ave, Lakewood, CA 90712-3910 | 2020-03-23 |
| 1033745096 | Kelsey Taylor Horton | Physician Assistant | 939 S Johnson Way, Lakewood, CO 80226-4043 | 2020-03-20 |
| 1023651908 | Molly Mclean | Physician Assistant | 7700 W Virginia Ave Unit B, Lakewood, CO 80226-3144 | 2019-10-23 |
| 1831743889 | Dov Berish Zeitman | Physician Assistant | 30 Serenity Way, Lakewood, NJ 08701-4060 | 2019-07-29 |
| 1164081105 | Abigail Grace Kent | Physician Assistant | 5920 100th St Sw Ste 26a, Lakewood, WA 98499-2751 | 2019-06-12 |
| Find all providers in LAKEWOOD | ||||
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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.