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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Medical Center Dr, Dhmc Department of Orthopaedics, Lebanon, NH 037561000 | 6036505133 |
Street Address |
1723 BROADWAY ST STE 315 |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63701-4556 |
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 |
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 |
Find all providers in zip 63701 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
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. |
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 |
Find all providers with the same taxonomy |
City | CAPE GIRARDEAU |
Zip Code | 63701 |
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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.