JACOB STANDARD (NPI# 1730703364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730703364 |
| Entity Type | Individual |
| Full Name | JACOB STANDARD |
| Credential | MD |
| Practice Address |
155 Academy Ave Greenwood SC 29646-3869 |
| Practice Telephone | 8647254865 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
155 ACADEMY AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952382277 | Jonathan H Hegler | Family Medicine | 155 Academy Ave, Greenwood, SC 29646-3869 | 2005-11-14 |
| 1407470198 | Helen Grey | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1396369922 | Davis Reed | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1801410527 | Elizabeth Hutson | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1558985234 | Naiab Naser Chowdhury | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1841814555 | Meleigh Groff | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1376167049 | Tyler Carter | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1538783162 | Troy Watson | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1881218501 | Margaret O'sell | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1477177012 | Mark Watts | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623826 | Shelbi Ashlyn Robinson | Student in an Organized Health Care Education/Training Program | 1314 Kenwood Dr, Greenwood, IN 46143-8101 | 2020-06-16 |
| 1740744515 | Danielle Renee Allison | Student in an Organized Health Care Education/Training Program | 1014 Peggy Dr., Greenwood, MO 64034 | 2019-01-25 |
| 1497219398 | Kelly Godbey | Student in an Organized Health Care Education/Training Program | 1303 Willow Dr, Greenwood, MO 64034-9110 | 2019-01-24 |
| 1346865318 | Taylor Bachert | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1871118836 | Jordan Phelps | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1205451283 | Taylor Daggett | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1710502794 | William Long | Student in an Organized Health Care Education/Training Program | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2020-06-15 |
| 1407470198 | Helen Grey | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1396369922 | Davis Reed | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| 1801410527 | Elizabeth Hutson | Student in an Organized Health Care Education/Training Program | 155 Academy Ave, Greenwood, SC 29646-3869 | 2020-05-29 |
| Find all providers in GREENWOOD | ||||
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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.