THOMAS E JACOBSON (NPI# 1851357396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851357396 |
| Entity Type | Individual |
| Full Name | THOMAS E JACOBSON |
| Credential | M.D. |
| Practice Address |
1648 Highway 95 Bullhead City AZ 86442-7906 |
| Practice Telephone | 9287584114 |
| Practice Fax Number | 9287584650 |
| Mailing Telephone | 9287584114 |
| Mailing Fax Number | 9287584650 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 22278 | AZ | Other Service Providers |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
22278 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 174722 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205290814 | Thomas Jacobson | Case Manager/Care Coordinator | 586 Brantley Terrace Way, Unit 103, Altamonte Springs, FL 32714-0817 | 2016-04-09 |
| 1336125855 | Thomas Alan Jacobson | Physician Assistant | Coast Guard Hq (cg-1122), 2100 Second Street Sw, Washington, DC 20593-0001 | 2005-12-16 |
| 1073067864 | Thomas Jacobson | Case Manager/Care Coordinator | 9412 Big Horn Blvd, Elk Grove, CA 95758-1101 | 2016-08-09 |
| 1760557003 | Thomas Jacobson | Specialist | 8 Alton Pl, Suite 2a, Brookline, MA 02446-6447 | 2006-11-22 |
| 1346203338 | Thomas Albert Jacobson | Family Medicine | 16181 Panama City Beach Pkwy, Panama City Beach, FL 32413-5423 | 2006-04-10 |
| 1063415305 | Thomas Paul Jacobson | Orthopaedic Surgery | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-05-31 |
| Street Address |
1648 HIGHWAY 95 |
| City | BULLHEAD CITY |
| State | AZ |
| Zip Code | 86442-7906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023348885 | Sook Yun Owen | Nurse Practitioner | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2009-12-30 |
| 1598776270 | Mohamed S Ahmed | Internal Medicine | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2006-08-10 |
| 1205883162 | Southwest Cardiovascular Associates, Ahmed, Alfafara,and Prasad, Ltd. | Internal Medicine | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2006-05-27 |
| 1477519445 | Channa B Prasad | Specialist | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2006-04-26 |
| 1255397709 | Ricardo C Alfafara | Internal Medicine | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869039 | Westcare Arizona I, Inc. | Substance Abuse Rehabilitation Facility | 1160 Agate Rd, Bullhead City, AZ 86442 | 2020-04-13 |
| 1710544895 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1665 Rainbow Dr Ste 7, Bullhead City, AZ 86442 | 2019-05-23 |
| 1306304845 | Muna Basnet Bhattarai | Nurse Practitioner | 3015 Hway 95 Ste 109, Bullhead City, AZ 86442 | 2019-03-04 |
| 1225508757 | Desert Springs Urgent Care, PC | Clinic/Center | 3706 Highway 95 Ste 1, Bullhead City, AZ 86442 | 2018-11-27 |
| 1750863114 | Susenie Delva Pierre | Nurse Practitioner | 3003 Hwy. 95, Suite 101, Bullhead City, AZ 86442 | 2018-09-02 |
| 1255819736 | Phoenix Cancer and Blodd Disorder Treatment Institute | Internal Medicine | 967 Hancock Rd 133, Bullhead City, AZ 86442 | 2018-08-06 |
| 1487140539 | Akdhc, LLC | Internal Medicine | 2771 Silver Creek Rd Ste 120, Bullhead City, AZ 86442 | 2018-07-02 |
| 1225543036 | Tri-state Sinus Center | Otolaryngology | 2020 Silver Creek, B101, Bullhead City, AZ 86442 | 2017-12-04 |
| 1396297123 | Henry Sy | Pharmacist | 2360 Az-95, Bullhead, AZ 86442 | 2016-10-27 |
| 1861854267 | Joshua Springs Operations LLC | Health Maintenance Organization | 2995 Desert Sky Blvd, Bullhead City, AZ 86442 | 2016-03-24 |
| Find all providers in zip 86442 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063652931 | Horizon Healthcare Professional Services LLC | Internal Medicine | 3015 Highway 95, Suite 107, Bullhead City, AZ 86442-4334 | 2009-03-04 |
| 1275785156 | Heart Care Center PC | Internal Medicine | 2020 Silver Creek Rd, Suite 102 C, Bullhead City, AZ 86442-8476 | 2008-10-22 |
| 1356542112 | Malik Tariq Rahim | Internal Medicine | 2755 Silver Creek Rd, Suite 217, Bullhead City, AZ 86442-7904 | 2007-05-30 |
| 1598776270 | Mohamed S Ahmed | Internal Medicine | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2006-08-10 |
| 1255397709 | Ricardo C Alfafara | Internal Medicine | 1648 Highway 95, Bullhead City, AZ 86442-7906 | 2006-04-25 |
| 1104896174 | Mahender Gaba | Internal Medicine | 2020 Silver Creek Rd, Suite # 102 C, Bullhead City, AZ 86442-8476 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673092 | Cai Ncp East Mesa Jv LLC | Internal Medicine | 10238 E Hampton Ave Ste 201, Mesa, AZ 85209-3318 | 2020-09-11 |
| 1073131561 | Ponderosa Heart House Call | Internal Medicine | 115 S Alto St Ste 3, Prescott, AZ 86303-3603 | 2020-07-10 |
| 1710504667 | Honorhealth Ambulatory | Internal Medicine | 20201 N Scottsdale Healthcare Dr Ste 200, Scottsdale, AZ 85255-4137 | 2020-06-26 |
| 1174149132 | Honorhealth Ambulatory | Internal Medicine | 9250 W Thomas Rd Ste 300, Phoenix, AZ 85037-3384 | 2020-06-24 |
| 1427523471 | Dr. David Wilcoxson and Associates, LLC | Internal Medicine | 6641 E Baywood Ave Ste B3, Mesa, AZ 85206-1723 | 2018-10-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1245733716 | Argento Medical Group LLC | Internal Medicine | 8410 W Thomas Rd Ste 120, Phoenix, AZ 85037-3356 | 2018-03-12 |
| 1508235730 | Joseph Parraz | Internal Medicine | 14340 S Durango Rd # 4, Arizona City, AZ 85123-8719 | 2015-09-17 |
| 1265809628 | Scottsdale Heart & Vascular Associates LLC | Internal Medicine | 4040 E Larkspur Dr, Phoenix, AZ 85032-7420 | 2015-09-01 |
| 1326438276 | Healthfinity, Pllc | Internal Medicine | 6316 W Union Hills Dr Ste 210, Glendale, AZ 85308-1001 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | BULLHEAD CITY |
| Zip Code | 86442 |
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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.