DR. THEODORE R JACOBS (NPI# 1811986763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811986763 |
| Entity Type | Individual |
| Full Name | DR. THEODORE R JACOBS |
| Credential | MD |
| Practice Address |
1 Hardy Rd # 220 Bedford NH 03110-4915 |
| Practice Telephone | 6034724711 |
| Mailing Telephone | 6034724711 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2014-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 64835 | GA | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 8619 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003106197A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366703761 | Theodore Joseph Jacobs | Psychiatry & Neurology | 18 East 87th Street, Apt 1e, New York, NY 10128 | 2012-06-01 |
| Street Address |
1 HARDY RD # 220 |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-4915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518266410 | Alexander James Gamble | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2011-03-18 |
| 1386955961 | University Hospitals Medical Group, Inc. | Neurological Surgery | 44 Blaine Ave, Suite B-83100, Bedford, OH 44146-2709 | 2010-06-29 |
| 1366694895 | Neal Luther | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2008-10-15 |
| 1073627329 | New Hampshire Neurospine Institute, Pa | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-08-17 |
| 1952347668 | Paul P Wang | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2006-06-21 |
| 1477539161 | Nigel Ross Jenkins | Neurological Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437477387 | Naser Jaleel | Neurological Surgery | 1 Medical Centerl Dr, Dartmouth Hitchcock - Neurosurgery, Lebanon, NH 03756-1000 | 2010-05-16 |
| 1255566907 | Melvin E. Prostkoff | Neurological Surgery | 750 Central Avenue - Suite H, Great Bay Neurosurgical Associates, P.a., Dover, NH 03820-3434 | 2009-05-26 |
| 1669652715 | Katharine Margaret Cronk | Neurological Surgery | 17 Prospect St Ste N203, Nashua, NH 03060-3964 | 2007-11-06 |
| 1235122359 | Timothy C Ryken | Neurological Surgery | One Medical Center Dr, Neurosurgery, Lebanon, NH 03756-0001 | 2005-08-24 |
| 1801890629 | Harold J Pikus | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2005-06-09 |
| 1629405998 | Fleischer Spine, Pllc | Neurological Surgery | 19 Tyler St, Suite 104, Nashua, NH 03060-2951 | 2013-10-02 |
| 1174814792 | Jennifer Hong | Neurological Surgery | 1 Medical Dr, Lebanon, NH 03756-0001 | 2011-04-29 |
| 1649581232 | Alice Peck Day Memorial Hospital | Neurological Surgery | 106 Hanover St, Lebanon, NH 03766-1042 | 2010-06-29 |
| 1194950840 | Great Bay Neurosurgical Associates, P.a. | Neurological Surgery | 750 Central Avenue - Suite H, Great Bay Neurosurgical Associates, P.a., Dover, NH 03820-3434 | 2009-05-26 |
| 1093970949 | Joshua Paul Aronson | Neurological Surgery | 1 Medical Center Dr, Department of Neurosurgery, Lebanon, NH 03756-1000 | 2008-07-21 |
| Find all providers with the same taxonomy | ||||
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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.