Mark I. Jacobs (NPI# 1487638409, PAC ID# 0941250765) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1487638409 |
| PAC ID by PECOS | 0941250765 |
| Professional Enrollment ID | I20110209000392 |
| Full Name | Mark I. Jacobs |
| Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Address |
73 Corporate Dr Suite 201 Portsmouth NH 03801-2847 |
| Phone Number | 6036108070 |
| Gender | M |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5496749848 |
| Number of Group Practice Members | 233 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300018 | WENTWORTH-DOUGLASS HOSPITAL |
| 300029 | PORTSMOUTH REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19 Old Rollinsford Rd, Bldg B, Dover, NH 03820-2807 | 6035164265 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| 73 Corporate Dr, Suite 201, Portsmouth, NH 03801-2847 | 6036108070 | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Organization Legal Name | WENTWORTH DOUGLASS PHYSICIAN CORPORATION |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Mcgann | Obstetrics/gynecology | Wentworth Douglass Physician Corporation | 789 Central Ave, Dover, NH 03820-2526 |
| Kathleen White | Nurse Practitioner | Wentworth Douglass Physician Corporation | 10 Members Way 5th Floor, Whp Internal Medicine, Dover, NH 03820-5933 |
| Deborah A Learson | Family Medicine | Wentworth Douglass Physician Corporation | 60 Exeter Rd Unit, 3 Great Bay Family Practice, Newmarket, NH 03857-1906 |
| Melissa J Iudice | Clinical Social Worker | Wentworth Douglass Physician Corporation | 15 Old Rollinsford Rd, Suite 302, Dover, NH 03820-2819 |
| Christopher D Lawson | Interventional Cardiology | Wentworth Douglass Physician Corporation | 801 Central Ave, Level1, Dover, NH 03820-2529 |
| Ritoban Sen | Vascular Surgery | Wentworth Douglass Physician Corporation | 19 Old Rollinsford Rd, Bldg B, Dover, NH 03820-2807 |
| Wilhelmina D Cabalona | Hematology/oncology | Wentworth Douglass Physician Corporation | 121 Corporate Dr, Suite 200, Portsmouth, NH 03801-6825 |
| Jennifer M Stout | Clinical Social Worker | Wentworth Douglass Physician Corporation | 798 Central Ave, Dover, NH 03820-2520 |
| Khosro Farhad | Neurology | Wentworth Douglass Physician Corporation | 67 Corporate Dr, Portsmouth, NH 03801-2847 |
| Abigail Trnovsky | Clinical Social Worker | Wentworth Douglass Physician Corporation | 65 Calef Hwy, Suite 200, Lee, NH 03861-6703 |
| Street Address |
73 CORPORATE DR SUITE 201 |
| City | PORTSMOUTH |
| State | NH |
| Zip | 03801-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas N Decker | Internal Medicine | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Dr2, Portsmouth, NH 03801-2847 |
| Christine L Wasilewski | Hematology/oncology | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Suite 200, Portsmouth, NH 03801-2847 |
| Whitney R. Coppolino | Cardiovascular Disease (cardiology) | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Suite 201, Portsmouth, NH 03801-2847 |
| George R. Kousaie | Family Medicine | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Dr2, Portsmouth, NH 03801-2847 |
| Jacqueline Irzyk | Nurse Practitioner | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Dr2, Portsmouth, NH 03801-2847 |
| Jean Touchan | Cardiovascular Disease (cardiology) | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Suite 201, Portsmouth, NH 03801-2847 |
| William S Danford | Cardiovascular Disease (cardiology) | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Suite 201, Portsmouth, NH 03801-2847 |
| Kristy Webster | Internal Medicine | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Suite 201, Portsmouth, NH 03801-2847 |
| Pamela R Levesque | Nurse Practitioner | Wentworth Douglass Physician Corporation | 73 Corporate Dr, Suite 201, Portsmouth, NH 03801-2847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Detolla | Maxillofacial Surgery | 200 Griffin Park Rd, Suite 8, Portsmouth, NH 03801 | |
| Kristina Zorger | Psychologist, Clinical | 30 Mirona Rd Extension, Portsmouth, NH 03801 | |
| Deeptha Sastry | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Mark A Chag | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Patricia M Yauch | Nurse Practitioner | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Emily Jerszyk Amarosa | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Wendy A Mclaughlin | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Sonja N Nelson | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Caroline Scoones | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Heidi Keup | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Find all physicians in zip 03801 | |||
| City | PORTSMOUTH |
| Zip Code | 03801 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PORTSMOUTH + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Mark I. Jacobs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.