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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4420424 | 05 |
Street Address |
8872 PROFESSIONAL DR SUITE A |
City | CADILLAC |
State | MI |
Zip Code | 49601-8481 |
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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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 |
Find all providers in zip 49601 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
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) |
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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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.