MS. DIANA MARY JACOB (NPI# 1801336524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801336524 |
| Entity Type | Individual |
| Full Name | MS. DIANA MARY JACOB |
| Credential | PA-C |
| Practice Address |
129 W 9th St Dallas TX 75208-4416 |
| Practice Telephone | 2149410032 |
| Practice Fax Number | 2145803514 |
| Mailing Telephone | 2149410032 |
| Mailing Fax Number | 2145803514 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11109 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 567256YL7A | 05 | |
| TX | 567259YL7B | 05 | |
| TX | 567258YNGS | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 129 W 9th St, Dallas, TX 752084416 | 2149410032 | 2145803514 |
| 2595 Dallas Pkwy, Suite 405, Frisco, TX 750348527 | 9723771490 | 9723771499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801213152 | Diana Grace Jacob | Internal Medicine | 1710 Harrison St, Batesville, AR 72501-7303 | 2014-03-25 |
| 1619257342 | Diana Rachel Jacob | Pharmacist | 655 Middle Country Rd, Selden, NY 11784-2520 | 2011-08-25 |
| 1508041948 | Diana Jacob | Pharmacist | 391 W Main St, Huntington, NY 11743-3203 | 2008-01-03 |
| Street Address |
129 W 9TH ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245349422 | Peter Gulati | Family Medicine | 129 W 9th St, Dallas, TX 75208-4416 | 2006-08-30 |
| 1285151134 | Christine Berger | Nurse Practitioner | 129 W 9th St, Dallas, TX 75208 | 2017-08-22 |
| 1700268158 | Elizabeth Brewer | Internal Medicine | 129 W 9th St, Dallas, TX 75208-4416 | 2015-06-22 |
| 1821107194 | Heriberto Jose Callejas | Internal Medicine | 129 W 9th St, Dallas, TX 75208-4416 | 2006-08-30 |
| 1467561639 | Steven Fenyves | Family Medicine | 129 W 9th St, Dallas, TX 75208-4416 | 2006-08-30 |
| 1508975707 | David J Nerenberg | Family Medicine | 129 W 9th St, Dallas, TX 75208-4416 | 2006-08-30 |
| 1679682884 | Oak Cliff Family Healthcare P A | Family Medicine | 129 W 9th St, Dallas, TX 75208-4416 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| 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 |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| Find all providers in DALLAS | ||||
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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.