Antony T Jacob (NPI# 1609871417, PAC ID# 2264410380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1609871417 |
| PAC ID by PECOS | 2264410380 |
| Professional Enrollment ID | I20100115000447 |
| Full Name | Antony T Jacob |
| Organization Legal Name | PREMIER HEALTH SPECIALISTS INC |
| Address |
30 E Apple St L200 Dayton OH 45409-2939 |
| Phone Number | 9372082020 |
| Gender | M |
| Graduation Year | 1976 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5597708594 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| 360174 | UPPER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 30 E Apple St, L200, Dayton, OH 45409-2939 | 9372082020 | PREMIER HEALTH SPECIALISTS INC |
| Organization Legal Name | PREMIER HEALTH SPECIALISTS INC |
| Physicians | 343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Galli Robertson | Physician Assistant | Premier Health Specialists Inc | 900 S Dixie Dr, Vandalia, OH 45377-2656 |
| Marie Elizabeth Chambers | Nurse Practitioner | Premier Health Specialists Inc | 2300 Miami Valley Dr, Suite 550, Centerville, OH 45459-4779 |
| Brian R Dulin | Cardiovascular Disease (cardiology) | Premier Health Specialists Inc | 742 Sweitzer St, Suite 1, Greenville, OH 45331-1099 |
| Matthew John Cavo | Hand Surgery | Premier Health Specialists Inc | 2350 Miami Valley Dr, Suite 310, Dayton, OH 45459-4778 |
| David Evers | Nurse Practitioner | Premier Health Specialists Inc | 122 Wyoming St, Dayton, OH 45409-2731 |
| Douglas Edward Mccafferty | Physician Assistant | Premier Health Specialists Inc | 3130 N Country Rd, Troy, OH 45373-1337 |
| Jiri David Sonek | Obstetrics/gynecology | Premier Health Specialists Inc | 101 Looney Rd, Piqua, OH 45356-4153 |
| Sudhakar Maraboyina | Interventional Cardiology | Premier Health Specialists Inc | 1530 Needmore Rd, Suite 300, Dayton, OH 45414-3969 |
| Terri M Caputo-jones | Nurse Practitioner | Premier Health Specialists Inc | 330 N Main St, Centerville, OH 45459-4465 |
| Keith A Watson | Obstetrics/gynecology | Premier Health Specialists Inc | 121 S Progress Dr, Xenia, OH 45385-2673 |
| Street Address |
30 E APPLE ST L200 |
| City | DAYTON |
| State | OH |
| Zip | 45409-2939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randy J Woods | General Surgery | Wright State Physicians Inc | 30 E Apple St, Suite 6258, Dayton, OH 45409-2939 |
| Kavitha Aluri Choudary | Hospitalist | Mvhe Inc | 30 E Apple St, Suite 3300, Dayton, OH 45409-2939 |
| Sarah A Hendrickson | Nurse Practitioner | Premier Health Specialists Inc | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 |
| Fadi M Tayim | Psychologist, Clinical | Premier Health Specialists Inc | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 |
| Tristin L Stephens | Nurse Practitioner | Mvhe Inc | 30 E Apple St, Suite 3300, Dayton, OH 45409-2939 |
| Akpofure P Ekeh | General Surgery | Wright State Physicians Inc | 30 E Apple St, Suite 6258, Dayton, OH 45409-2939 |
| Tara Jolene Scheufler | Hospitalist | Mvhe Inc | 30 E Apple St, Suite 3300, Dayton, OH 45409-2939 |
| Nael A Saleh | Internal Medicine | Mvhe Inc | 30 E Apple St, Suite 3300, Dayton, OH 45409-2939 |
| Michael Kentris | Neurology | Premier Health Specialists Inc | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 |
| Muhammad Kashif Raza | Internal Medicine | Mvhe Inc | 30 E Apple St, Suite 3300, Dayton, OH 45409-2939 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy R Milam | Psychologist, Clinical | 1250 W Dorothy Ln, Suite 208, Kettering, OH 45409-1313 | |
| Chris Steuerwald | Certified Registered Nurse Anesthetist | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Dayton, OH 45409-1323 |
| Karen Champion | Certified Registered Nurse Anesthetist | Gasjobs of Oh, Inc | 3075 Governors Place Blvd, Dayton, OH 45409-1323 |
| Julie A Schloemer | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Paul Gruber | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Martha A Hickmann | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Joseph W Mcgowan Iv | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Shannon Patrick Buck | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Gwyn E King | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Heidi Donnelly | Dermatology | Dayton Skin Surgery Center Inc | 3025 Governors Place Blvd, Dayton, OH 45409-1330 |
| Find all physicians in zip 45409 | |||
| City | DAYTON |
| Zip Code | 45409 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | DAYTON + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Antony T Jacob.
| 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.