DR. CHARITY ANN JACOBS


Address: 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556
Phone: 5735194960

DR. CHARITY ANN JACOBS (NPI# 1962764183) 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) 1962764183
Entity Type Individual
Full Name DR. CHARITY ANN JACOBS
Credential M.D.
Practice Address 1723 Broadway St Ste 315
Cape Girardeau
MO 63701-4556
Practice Telephone 5735194960
Mailing Telephone 5735194960
Enumeration Date 2012-06-13
Last Update Date 2019-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
2019023336 MO Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Medical Center Dr, Dhmc Department of Orthopaedics, Lebanon, NH 037561000 6036505133

Office Location

Street Address 1723 BROADWAY ST STE 315
City CAPE GIRARDEAU
State MO
Zip Code 63701-4556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306133129 Andrew J Lawrence Family Medicine 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 2011-06-30
1760030084 Dava C Hummel Physician Assistant 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 2019-08-29
1205495272 Sivagamy Nyanzi Nurse Practitioner 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 2019-06-12
1992261671 Stephanie Kulavic Specialist/Technologist 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 2019-02-18
1831675552 Beth Allyson Simmons Physician Assistant 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 2018-07-16
1891160164 Jennifer Lang Advanced Practice Midwife 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 2015-12-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336748110 Westbrook Dialysis, LLC Clinic/Center 140 West Drive, Cape Girardeau, MO 63701 2020-10-22
1972079580 Savannah Laine Menard Behavior Technician 20 S. Sprigg St, Cape Girardeau, MO 63701 2018-10-22
1932690377 Broadway Specialty, LLC Pharmacy 706 Broadway St, Cape Girardeau, MO 63701 2018-05-22
1356864649 Terri L. Mccord Pharmacist 4170 Connor Dr, Cape Girardeau, MO 63701 2017-07-19
1013459312 Christina Cossou Nurse Practitioner 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 2016-11-17
1124573365 Ashley Sullivan Massage Therapist 3041 Melrose Ave, Cape Girardeau, MO 63701 2016-08-17
1225432172 Axpm - Merkley, LLC Dentist 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 2014-10-21
1639573397 Marian Perez Hurt Physical Therapist 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 2014-10-09
1891194213 Deanna Abner Case Manager/Care Coordinator 20 South Sprigg, Cape Girardeau, MO 63701 2014-08-21
1831506880 Kwadwo O Britwum Behavioral Analyst Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 2014-07-22
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Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043622566 R&r 1 LLC Orthopaedic Surgery 9272 Caddyshack Cir, Saint Louis, MO 63127-1932 2014-06-02
1063701647 John Paul Eggers Orthopaedic Surgery 2790 Clay Edwards Dr # Dr600, Kansas City, MO 64116-3276 2011-04-04
1194983833 Roberte Kuhlman Orthopaedic Surgery 12 Upper Barnes, St Louis, MO 63124 2008-05-29
1043340854 Jeffrey Aaron Krempec Orthopaedic Surgery 2790 Clay Edwards Dr Ste 600, Kansas City, MO 64116-3274 2007-03-07
1104833540 James A Keeney Orthopaedic Surgery 1100 Virginia Avenue, Columbia, MO 65212-0001 2006-08-01
1487097044 Rajesh Rangarajan Orthopaedic Surgery 2301 Holmes St, Kansas City, MO 64108 2013-04-14
1720354806 Charles Murray Lawrie Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2012-03-22
1396908042 Muyibat A Adelani Orthopaedic Surgery 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 2008-07-02
1386778660 Orthopedic Care of St. Louis, PC Orthopaedic Surgery 1040 N Mason Rd, Suite G03, Saint Louis, MO 63141-6399 2007-03-16
1275677023 Putnam Orthopaedic Center, LLC Orthopaedic Surgery 4350 S National Ave, Suite C200, Springfield, MO 65810-2607 2007-02-16
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Competitor

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City CAPE GIRARDEAU
Zip Code 63701

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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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