DR. EDWARD CHARLES JACOBSON I (NPI# 1871659060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871659060 |
| Entity Type | Individual |
| Full Name | DR. EDWARD CHARLES JACOBSON I |
| Credential | D.O. |
| Practice Address |
5635 1st Ave S St Petersburg FL 33707-1703 |
| Practice Telephone | 7273457681 |
| Practice Fax Number | 7273814318 |
| Mailing Telephone | 7273457681 |
| Mailing Fax Number | 7273814318 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS0005364 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336208651 | Edward Jacobson | Specialist | 1 Perryridge Rd, Greenwich, CT 06830-4607 | 2006-12-06 |
| 1013984319 | Edward E Jacobson | Obstetrics & Gynecology | 1111 N 6th St, Longview, TX 75601-5537 | 2006-03-06 |
| 1346214665 | Edward L Jacobson | Family Medicine | 961 Spring Creek Rd, Galen Medical Group, Chattanooga, TN 37412 | 2006-02-14 |
| Street Address |
5635 1ST AVE S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33707-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618503 | Pcn Health and Wellness, LLC | Neuromusculoskeletal Medicine & OMM | 2627 Ne 203rd St Ste 100a, Miami, FL 33180-1945 | 2020-08-07 |
| 1316412836 | Osteopathic Medical Arts Center of South Florida LLC | Neuromusculoskeletal Medicine & OMM | 3700 Washington St Ste 401, Hollywood, FL 33021-8249 | 2018-10-11 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1366974800 | Derek Christopher Murphy | Neuromusculoskeletal Medicine & OMM | 110 Alafaya Woods Blvd Ste C-2, Oviedo, FL 32765-4000 | 2017-04-03 |
| 1639538143 | Amy Joy Selwach | Neuromusculoskeletal Medicine & OMM | 870 N Cocoa Blvd Ste A, Cocoa, FL 32922-7588 | 2016-02-12 |
| 1053611251 | Roger R. Verno, D.c.p.a. | Neuromusculoskeletal Medicine & OMM | 2620 N Australian Ave Ste 100, West Palm Beach, FL 33407-5626 | 2010-10-22 |
| 1427374354 | Nabeel Kouka | Neuromusculoskeletal Medicine & OMM | 2999 Ne 191st St Ste 260, Aventura, FL 33180-4925 | 2010-04-16 |
| 1104059005 | New Directions of Central Florida, LLC | Neuromusculoskeletal Medicine & OMM | 9425 Se Highway 42, Summerfield, FL 34491-6405 | 2009-08-26 |
| 1134357957 | Ramon G Lugo-sanchez | Neuromusculoskeletal Medicine & OMM | 2724 Sw 120th Ter, Miramar, FL 33025-0762 | 2009-07-01 |
| 1376702183 | Erik Michael Schabert | Neuromusculoskeletal Medicine & OMM | 4408 Nw 36th Ave, Gainesville, FL 32606-7215 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33707 |
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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.