MINA AYAD JACOB (NPI# 1730132556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730132556 |
Entity Type | Individual |
Full Name | MINA AYAD JACOB |
Credential | M.D.,FACC,FSCAI |
Practice Address |
1700 Spring Hill Ave Ste 100 Mobile AL 36604-1416 |
Mailing Address |
3901 University Blvd S Suite 221 Jacksonville FL 32216-4392 |
Practice Telephone | 2514351200 |
Practice Fax Number | 2514356357 |
Mailing Telephone | 9044230010 |
Mailing Fax Number | 9044230012 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2019-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
31294 | AL | Allopathic & Osteopathic Physicians |
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
31294 | AL | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
31294 | AL | Allopathic & Osteopathic Physicians |
N | 207RA0002X | 31294 | AL |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000946844 | 05 | |
GA | 000946844R | 05 | |
GA | 000946844X | 05 | |
AL | 167695 | 05 | |
GA | 000946844L | 05 | |
GA | 000946844O | 05 | |
GA | 000946844P | 05 | |
GA | 000946844Q | 05 | |
GA | 000946844K | 05 | |
GA | 00946844A | 05 |
Street Address |
1700 SPRING HILL AVE STE 100 |
City | MOBILE |
State | AL |
Zip Code | 36604-1416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841821147 | Eleanor Katharine Wilkinson | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2020-01-27 |
1356981930 | Samantha Payton Baxter | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2020-01-10 |
1093272874 | Lawanda S Fantroy | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2019-02-27 |
1437674397 | Karras Radonna Hunt | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2017-08-11 |
1598122715 | Meredith Kronn Veazey | Physician Assistant | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2016-01-19 |
1912370818 | Elizabeth Watson | Nurse Practitioner | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2015-11-02 |
1235570375 | Chibuzo Clement Odigwe | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-07-16 |
1003255993 | Jose Nahun Galeas Soriano | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2013-06-24 |
1396032983 | Walter Lee Beard Jr. | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2011-07-01 |
1952696247 | Jessica Kaur Bhathal | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2011-06-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013551449 | John F Kilpatrick | Social Worker | 1156 Springhill Avenue, Mobile, AL 36604 | 2019-10-29 |
1477036986 | Rachel Schneider | Specialist/Technologist | 1601 Center St Ste B, Mobile, AL 36604 | 2018-09-11 |
1891218194 | Transitional Care LLC | Nurse Practitioner | 1725 Springhill Avenue, Mobile, AL 36604 | 2017-07-19 |
1427404722 | Precision Orthotics & Prosthetics,llc | Durable Medical Equipment & Medical Supplies | 1557 Springhill Avenue, Mobile, AL 36604 | 2016-05-05 |
1851737746 | Robert P. Kobelja | Psychiatry & Neurology | 1601 Center St Ste 2s, Mobile, AL 36604 | 2013-05-17 |
1619233970 | Lisa Brown Bailey | Nurse Practitioner | 1700 Center Street--, Division of Neonatology, Mobile, AL 36604 | 2012-04-11 |
1023341773 | Rebecca Blankenhorn | Audiologist | 1610 Center St., Suite A, Mobile, AL 36604 | 2009-09-14 |
1700062684 | William-glenn Langley Hollingsworth | Counselor | 1156 Springhill Ave, Mobile, AL 36604 | 2008-01-10 |
1972715415 | Allison May Chung | Pharmacist | 1504 Springhill Dr, Rm 5225, Mobile, AL 36604 | 2007-05-04 |
1265504716 | Geriatric Specialists LLC | Internal Medicine | 1059 Palmetto St, Mobile, AL 36604 | 2006-11-13 |
Find all providers in zip 36604 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1942401690 | L.s. Mcgee,jr., M.d.,p.a. | Surgery | 15 W Midtown Park, Suite C, Mobile, AL 36606-4139 | 2007-05-30 |
1144254574 | Lawrence S Mcgee Jr. | Surgery | 15 Midtown Park Drive West, Suite C, Mobile, AL 36606-4139 | 2006-07-10 |
1912900283 | Glenn E Esses | Surgery | 1151 Dauphin St, Mobile, AL 36604-2547 | 2005-05-31 |
1063415339 | Ralph B Pfeiffer Jr. | Surgery | 171 Mobile Infirmary Blvd, Mobile, AL 36607-3509 | 2005-05-31 |
1841848553 | Imc-cardio-thoracic and Vascular Surgical Associates LLC | Surgery | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2019-08-27 |
1801282868 | Vascular Associates of South Alabama, LLC | Surgery | 1551 Old Shell Rd, Mobile, AL 36604-1354 | 2015-04-07 |
1295013696 | Vascular Center of Mobile, P.C. | Surgery | 1151 Dauphin St, Mobile, AL 36604 | 2011-08-02 |
1932368834 | Lee C Ferguson | Surgery | 1151 Dauphin St, Mobile, AL 36604-2547 | 2008-06-05 |
1134386964 | Melanie Rose | Surgery | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2008-05-20 |
1700052966 | Lewis Clinton Lyons IIi | Surgery | 1855 Spring Hill Ave, Mobile, AL 36607-2301 | 2008-05-07 |
Find all providers in MOBILE |
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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.