GLENN C. JACOBSEN


Address: 7 Carrswold Dr, Saint Louis, MO 63105-2914
Phone: 3143008265

GLENN C. JACOBSEN (NPI# 1780223933) 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) 1780223933
Entity Type Individual
Full Name GLENN C. JACOBSEN
Credential MD
Practice Address 7 Carrswold Dr
Saint Louis
MO 63105-2914
Practice Telephone 3143008265
Mailing Telephone 3143008265
Enumeration Date 2020-01-04
Last Update Date 2020-01-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2005007371 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 7 CARRSWOLD DR
City SAINT LOUIS
State MO
Zip Code 63105-2914

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1710435565 James Breihan Occupational Therapist 401 Corporate Park Drive, Clayton, MO 63105 2016-09-21
1730566928 Frank Theus Counselor 7710 Carondelet Ave Ste 220, Saint Louis, MO 63105 2015-04-27
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1861814261 Jesse Marie Civello Physical Therapist 222 S Meramec Avenue, Suite 100, Clayton, MO 63105 2014-01-20
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396305868 Kevin Colin O'fee Internal Medicine 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 2019-06-17
1144740200 Michael Slade Internal Medicine 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 2017-06-20
1386171312 Niaz Memon Internal Medicine 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 2017-05-22
1043746027 Paul David Olivo Internal Medicine 639 W Polo Dr, Saint Louis, MO 63105-2635 2017-05-11
1649706243 Jared Frisby Internal Medicine 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 2017-05-03
1518417708 Md At Home LLC Internal Medicine 6 Portland Pl, Saint Louis, MO 63108-1204 2016-10-11
1285087429 Kathryn Parker Internal Medicine 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 2016-07-22
1831540863 John Kirby Krause Jr. Internal Medicine 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 2016-06-30
1104277458 Vedica Sharma Internal Medicine 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 2016-06-28
1134583925 Leigh Rose Ball Internal Medicine 4921 Parkview Pl Ste 14a, Saint Louis, MO 63110-1032 2016-04-08
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Competitor

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City SAINT LOUIS
Zip Code 63105

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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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