DR. MARC S JACOBSON (NPI# 1922178367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922178367 |
| Entity Type | Individual |
| Full Name | DR. MARC S JACOBSON |
| Credential | MD |
| Practice Address |
2141 N Beverly Ave Tucson AZ 85712-2155 |
| Mailing Address |
Po Box 31235 Tucson AZ 85751-1235 |
| Practice Telephone | 5203246290 |
| Mailing Telephone | 5203244100 |
| Mailing Fax Number | 5203241406 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
162392 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 549189 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437118932 | Marc G Jacobson | Radiology | 3505 E John St, Seattle, WA 98112-4942 | 2006-03-22 |
| 1972042174 | Marc Jacobson | Counselor | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2017-02-21 |
| 1043479827 | Marc Jacobson | Dentist | 10521 N Port Washington Rd, Mequon, WI 53092-5584 | 2008-06-05 |
| Street Address |
2141 N BEVERLY AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720075211 | Daniel Carleton King | Physician Assistant | 2141 N Beverly Ave, Ste 101, Tucson, AZ 85712-2155 | 2005-09-30 |
| 1215291414 | Dyson Dermatology Pllc | Dermatology | 2141 N Beverly Ave, Suite 101, Tucson, AZ 85712-2155 | 2012-07-02 |
| 1881809754 | Peter A Glennie | Dentist | 2141 N Beverly Ave, Suite 103, Tucson, AZ 85712-2155 | 2007-05-13 |
| 1023223591 | Steven Robert Singer | Dentist | 2141 N Beverly Ave, Suite 103, Tucson, AZ 85712-2155 | 2007-05-10 |
| 1477767440 | Kimberly Bauche Conant | Dentist | 2141 N Beverly Ave, Suite 103, Tucson, AZ 85712-2155 | 2007-05-09 |
| 1942230859 | Senait Dyson | Dermatology | 2141 N Beverly Ave, Ste 101, Tucson, AZ 85712-2155 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114271798 | Kristen Marie Buchanan | Pediatrics | 4700 N 51st Ave Ste 4, Phoenix, AZ 85031-1237 | 2012-11-02 |
| 1992060222 | Patti J. Perry, M.d. PC | Pediatrics | 1832 S. 8th Avenue, Yuma, AZ 85364 | 2012-07-12 |
| 1952626053 | Joseph King Hindman | Pediatrics | 8375 Koch Field Rd, Flagstaff, AZ 86004-1255 | 2010-03-31 |
| 1669679098 | Stefanie Ann Workman | Pediatrics | 2929 N Power Rd, Suite 101, Mesa, AZ 85215-1745 | 2007-06-29 |
| 1295930980 | Mary Ellen Rimsza | Pediatrics | 518 S 3rd St, Phoenix, AZ 85004-2506 | 2007-06-20 |
| 1255544987 | Jeffrey Siegel | Pediatrics | 10200 N 92nd St Ste 150, Scottsdale, AZ 85258-4535 | 2007-05-08 |
| 1629296249 | Good Night Pediatrics East Valley PC | Pediatrics | 1452 N Higley Rd, Gilbert, AZ 85234-1600 | 2007-04-20 |
| 1508957101 | John Curley | Pediatrics | 4434 N 12th St, Phoenix, AZ 85014-4507 | 2006-09-27 |
| 1780775395 | Shannon Forshey | Pediatrics | 4434 N 12th Street, Phoenix, AZ 85014-1101 | 2006-09-27 |
| 1194816702 | Brad Golner | Pediatrics | 4735 E Union Hills Dr, Phoenix, AZ 85050-3362 | 2006-09-27 |
| 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.