DR. SUSANNA JACOBS (NPI# 1750792313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750792313 |
| Entity Type | Individual |
| Full Name | DR. SUSANNA JACOBS |
| Credential | DPM |
| Practice Address |
300 Colorado Ave Pueblo CO 81004-2006 |
| Mailing Address |
4961 S Beeler St Greenwood Village CO 80111-1311 |
| Practice Telephone | 7195438718 |
| Practice Fax Number | 7195853057 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD.0000818 | CO | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1008 N Grand Ave, Pueblo, CO 810032916 | 7195438711 | 7195853057 |
| 1050 35th Ln, Pueblo, CO 810069426 | 7195438711 | 7195853057 |
| 1302 E 5th St, Pueblo, CO 810013754 | 7195438711 | 7195853057 |
| 216 E Orman Ave, Pueblo, CO 810042144 | 7195438711 | 7195853057 |
| 2525 Mountview Dr, Pueblo, CO 810081431 | 7195438711 | 7195853057 |
| 328 Avondale Blvd, Avondale, CO 81022 | 7195438711 | 7195853057 |
| 4961 S Beeler St, Greenwood Village, CO 801111311 | 3038858654 | |
| 625 N Monument Ave, Pueblo, CO 810015706 | 7195438711 | 7195853057 |
| 9 Macneil Rd, Pueblo, CO 810011931 | 7195438711 | 7195853057 |
| 900 W Orman Ave, Pueblo, CO 810041430 | 7195438711 | 7195853057 |
| Street Address |
300 COLORADO AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447245139 | Brett L Hulet | Obstetrics & Gynecology | 300 Colorado Ave, Pueblo, CO 81004 | 2005-09-19 |
| 1487279659 | Christi Lyn Bader | Registered Nurse | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-06-12 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
| 1497391643 | Martin W Chrisman | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-11-22 |
| 1700445467 | Liberty Angel Ruiz | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-06 |
| 1578121810 | Samuel Joseph Taibi | Physician Assistant | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-02 |
| 1386200442 | Kenyada Gilbert | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-05-14 |
| 1659935401 | Christina M Wooters-eck | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-04-26 |
| 1710449004 | Theresa M Chavez | Counselor | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-04-04 |
| 1194280701 | Lindsey Brooke Smith | Student in an Organized Health Care Education/Training Program | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437206547 | Charles E Schneider Dpm PC | Podiatrist | 1619 N Green Wood St, # 300, Pueblo, CO 81003-2657 | 2007-01-04 |
| 1396788873 | Eric J Richardson | Podiatrist | 2037 Jerry Murphy Rd Ste 100, Pueblo, CO 81001-1256 | 2006-06-13 |
| 1033188917 | Angelo Sam Giarratano | Podiatrist | 2037 Jerry Murphy Rd, Suite 100, Pueblo, CO 81001-1256 | 2006-03-14 |
| 1720050743 | Christopher Richard Dipersio | Podiatrist | 5 Stadium Pl, Pueblo, CO 81004-1129 | 2006-02-03 |
| 1396721544 | Arlin Ray Peterson | Podiatrist | 509 Colorado Ave, Ste D, Pueblo, CO 81004-2008 | 2005-12-20 |
| 1639717721 | Parkview Ancillary Services | Podiatrist | 1619 N. Greenwood, Ste. 106b, Pueblo, CO 81003-2655 | 2019-12-19 |
| 1730289299 | Charles E Schneider | Podiatrist | 1619 N Greenwood St, #300, Pueblo, CO 81003-2644 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975771 | David Erik Ouderkirk Dpm PC | Podiatrist | 11310 N Huron Street, Suite 20, Northglenn, CO 80234-3090 | 2020-09-04 |
| 1073126173 | David Erik Ouderkirk Dpm PC | Podiatrist | 4185 E. Wildcat Reserve Pkwy, Suite 200, Highlands Ranch, CO 80126-6803 | 2020-08-28 |
| 1225646979 | New West Physicians, P.C. | Podiatrist | 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 | 2020-07-20 |
| 1396207296 | Emily Marie Opp | Podiatrist | 25775 Road T, Dolores, CO 81323-9202 | 2019-04-01 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1538677976 | South Denver Podiatry LLC | Podiatrist | 7780 S Broadway Ste 190, Littleton, CO 80122-2641 | 2018-01-19 |
| 1386094142 | Phillip Savage | Podiatrist | 1421 S Potomac St Ste 120, Aurora, CO 80012-4511 | 2016-06-13 |
| 1427450014 | Eastern Colorado Podiatry LLC | Podiatrist | 16350 E Arapahoe Rd, Suite 108, Foxfield, CO 80016-1557 | 2014-09-25 |
| 1003225160 | Alfred Kwon | Podiatrist | 10268 W Centennial Rd Ste 104, Littleton, CO 80127-6423 | 2014-08-03 |
| 1639580293 | Meredith Rawa | Podiatrist | 1301 Riverside Ave Ste 1, Fort Collins, CO 80524 | 2014-05-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SUSANNA JACOBS.
| 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.