LISA JACOBSON D.O., P.C.


Address: 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481
Phone: 2317796260

LISA JACOBSON D.O., P.C. (NPI# 1831333715) 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) 1831333715
Entity Type Organization
Organization Name LISA JACOBSON D.O., P.C.
Practice Address 8872 Professional Dr
Suite A
Cadillac
MI 49601-8481
Practice Telephone 2317796260
Practice Fax Number 2317796264
Mailing Telephone 2317796260
Mailing Fax Number 2317796264
Enumeration Date 2009-04-23
Last Update Date 2019-07-11
Authorized Official Name MRS. LISA JACOBSON (OWNER)
Authorized Official Telephone 2317796260
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0007X Otolaryngology
Specialization: Plastic Surgery within the Head & Neck
5101013549 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4420424 05

Office Location

Street Address 8872 PROFESSIONAL DR
SUITE A
City CADILLAC
State MI
Zip Code 49601-8481

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609874288 Dynamic Physical Therapy Inc Physical Therapist 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 2005-07-08
1619418282 David Arthur Diver Physical Therapist 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 2017-03-16
1326428236 Jordan Thomas Moriarty Physical Therapist 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 2015-06-05
1750761664 Lisa Marie Thompson Physical Therapist 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 2015-06-05
1609274455 Audiological Services of Cadillac Otolaryngology 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 2014-12-10
1003254384 Deborah Kay Farst Physical Therapist 8872 Professional Dr, Suite C, Cadillac, MI 49601-8481 2013-06-10
1548562978 Robert Kendell D.o.,p.c. Otolaryngology 8872 Professional Dr, Suite A, Cadillac, MI 49601-8481 2010-11-17
1508082462 Terri Hamp Physical Therapist 8872 Professional Dr, Cadillac, MI 49601-8481 2007-04-18
1659597508 Walter J Witkowski Physical Therapist 8872 Professional Dr, Cadillac, MI 49601-8481 2007-04-18
1538384078 Gijsbert Fh Posthumus Meyjes Physical Therapist 8872 Professional Dr, Cadillac, MI 49601-8481 2007-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720691983 Hailey Amlott Pharmacist Walgreens 07660, 1220 N. Mitchell Street, Cadillac, MI 49601 2020-08-27
1558901454 Diane Lyn Stearns Physical Therapy Assistant Samaritas Senior Living, 460 Pearl Street, Cadillac, MI 49601 2020-01-09
1902363013 Marcella Marie Metzger Pharmacist 520 Cobb Street, Cadillac, MI 49601 2019-02-25
1558864447 Tricia Wing Physical Therapist 704 Oak Street, Cadillac, MI 49601 2018-03-16
1386174134 Marjorie Middel Social Worker 1909 N. Mitchell Street, Aleda E. Lutz Veterans Affairs Medical Center Cadillac, Cadillac, MI 49601 2017-06-14
1841726171 T & M Helping Hand Home Health 325 Howard St, Cadillac, MI 49601 2017-05-05
1841731486 Vicki Lynne Schutte Behavior Technician 7716 S. 27 Rd, Cadillac, MI 49601 2017-03-15
1518407220 Rosanne Marie Denny Behavior Technician 605 Cadillac Shores Dr #106, Cadillac, MI 49601 2017-02-28
1821495532 James David Shadoan Family Medicine 133 N. Shore Dr E., Cadillac, MI 49601 2014-11-24
1841632007 Serenity Adult Foster Care Home LLC Foster Care Agency 2883 S. 41 Rd., Cadillac, MI 49601 2013-07-29
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Taxonomy Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467853515 Michigan Ear, Nose, Throat & Allergy Specialist Otolaryngology 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417-2479 2014-09-09
1790004166 Veritas Group LLC Otolaryngology 300 S State St Ste 1, Zeeland, MI 49464-1677 2010-05-25
1144354820 Shoreline Ent Plc Otolaryngology 268 Seminole Rd, Muskegon, MI 49444-3733 2007-03-15
1205920873 Michael Sherbin Otolaryngology 309 Northbound Gratiot Ave, Mount Clemens, MI 48043-5748 2006-10-03
1366462350 Terry R Degroot Otolaryngology 1617 Sheldon Rd, Grand Haven, MI 49417-2543 2006-07-20
1740244870 Richard J Strabbing Otolaryngology 3100 N. Wellness Dr, Holland, MI 49424 2006-04-14
1568423986 Joe S Chomchai Otolaryngology 4851 E Pickard St Ste 2700, Mount Pleasant, MI 48858-2042 2006-03-28
1740265362 Mehmet Cemal Agabigum Otolaryngology 5040 Villa Linde Pkwy, Ste A, Flint, MI 48532-3445 2005-12-07
1437519279 Kathleen Elizabeth Mcclain Otolaryngology 15855 19 Mile Rd, Clinton Township, MI 48038-3504 2016-03-04
1285974964 Drue A Manning Otolaryngology 15855 19 Mile Rd, Clinton Township, MI 48038-3504 2013-02-18
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Competitor

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City CADILLAC
Zip Code 49601

Improve Information

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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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