Laith J Jacob (NPI# 1083064000, PAC ID# 4082909395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1083064000 |
| PAC ID by PECOS | 4082909395 |
| Professional Enrollment ID | I20191112001413 |
| Full Name | Laith J Jacob |
| Organization Legal Name | PROMEDICA MONROE PHYSICIANS PLLC |
| Address |
718 N Macomb St Promedica Physicians Hospitalists Monroe MI 48162-7815 |
| Phone Number | 7342408987 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2365696176 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230099 | PROMEDICA MONROE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 718 N Macomb St, Promedica Physicians Hospitalists, Monroe, MI 48162-7815 | 7342408987 | PROMEDICA MONROE PHYSICIANS PLLC |
| Organization Legal Name | PROMEDICA MONROE PHYSICIANS PLLC |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Anthony Tilson | Family Medicine | Promedica Monroe Physicians Pllc | 7825 N Dixie Hwy 101, Promedica Physicians Family Medicin, Newport, MI 48166-9750 |
| Abbas Bahari | Neurosurgery | Promedica Monroe Physicians Pllc | 1420 N Monroe St, Promedica Physicians Orthopaedic Su, Monroe, MI 48162-4211 |
| Justin L Chamberlain | General Surgery | Promedica Monroe Physicians Pllc | 730 N Macomb St, 329 Promedica Physicians General Surger, Monroe, MI 48162-2904 |
| Kenneth J Mcnamee | Orthopedic Surgery | Promedica Monroe Physicians Pllc | 214 E Elm Ave, 200 Promedica Physicians Orthopaedic Su, Monroe, MI 48162-2678 |
| Michelle Marie Chartier | Family Medicine | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| James M Doyle | Family Medicine | Promedica Monroe Physicians Pllc | 111 Medical Ctr Dr, Carleton, MI 48117-9461 |
| Joseph Michael Nelson | Emergency Medicine | Promedica Monroe Physicians Pllc | 700 Stewart Rd, Monroe, MI 48162-5304 |
| Tatiana Masyk | Family Medicine | Promedica Monroe Physicians Pllc | 1704 S Custer Rd, Promedica Physicians Family Medicin, Monroe, MI 48161-1622 |
| Edward Kresyman | Family Medicine | Promedica Monroe Physicians Pllc | 718 N Macomb St, Promedica Physicians Hospitalists, Monroe, MI 48162-7815 |
| Lacey Marie Kane | Physician Assistant | Promedica Monroe Physicians Pllc | 3175 Smith Rd, Lambertville, MI 48144-9434 |
| Street Address |
718 N MACOMB ST PROMEDICA PHYSICIANS HOSPITALISTS |
| City | MONROE |
| State | MI |
| Zip | 48162-7815 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Emmons | Certified Registered Nurse Anesthetist (crna) | Mercy Memorial Hospital Corporation | 718 N Macomb St, Monroe, MI 48161-7815 |
| David A Glancy | Certified Registered Nurse Anesthetist (crna) | Mercy Memorial Hospital Corporation | 718 N Macomb St, Monroe, MI 48161-7815 |
| Lindsay Richmond-pruneau | Emergency Medicine | Emergency Physicians of Northwest Ohio, Inc. | 718 N Macomb St, Monroe, MI 48162-7815 |
| Todd E Russell | Vascular Surgery | Promedica Central Physicians LLC | 718 N Macomb St, Monroe, MI 48162-7815 |
| Thomas J Hewson | Emergency Medicine | 4m Monroe Medical Services | 718 N Macomb St, Monroe, MI 48162-7815 |
| Edward Kresyman | Family Medicine | Promedica Monroe Physicians Pllc | 718 N Macomb St, Promedica Physicians Hospitalists, Monroe, MI 48162-7815 |
| Rhonda Shryock | Nurse Practitioner | Emergency Physicians of Northwest Ohio, Inc. | 718 N Macomb St, Monroe, MI 48162-7815 |
| Jeffery A Trager | Emergency Medicine | Emergency Physicians of Northwest Ohio, Inc. | 718 N Macomb St, Monroe, MI 48162-7815 |
| Candace N Johnson | Emergency Medicine | 4m Monroe Medical Services | 718 N Macomb St, Monroe, MI 48162-7815 |
| Vanessa J Peters | Certified Registered Nurse Anesthetist (crna) | Mercy Memorial Hospital Corporation | 718 N Macomb St, Monroe, MI 48161-7815 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amal Butler | Clinical Social Worker | 311 N Monroe St, Monroe, MI 48162-2621 | |
| Kenneth J Mcnamee | Orthopedic Surgery | Promedica Monroe Physicians Pllc | 214 E Elm Ave, 200 Promedica Physicians Orthopaedic Su, Monroe, MI 48162-2678 |
| Marilyn Hatcher | Clinical Social Worker | 214 E Elm Ave, Suite 112, Monroe, MI 48162-2678 | |
| Cliff Ferreira | Nurse Practitioner | Ashwin H Shah Md PC | 718 N Macomb St, Mercy Memorial Hospital, Monroe, MI 48162-2900 |
| Ashwin H Shah | Urology | Ashwin H Shah Md PC | 730 N Macomb St, Suite 319, Monroe, MI 48162-2900 |
| Justin L Chamberlain | General Surgery | Promedica Monroe Physicians Pllc | 730 N Macomb St, 329 Promedica Physicians General Surger, Monroe, MI 48162-2904 |
| Stacey M Reaume | Clinical Social Worker | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Navin K Jain | Pulmonary Disease | Toledo Clinic Incorporated | 730 N Macomb St, Suite 320, Monroe, MI 48162-2904 |
| John J Kalenkiewicz | Internal Medicine | 730 N Macomb St, Suite 400, Monroe, MI 48162-2904 | |
| Tracy Gomez | Psychologist, Clinical | Mercy Memorial Hospital Corporation | 730 N Macomb, Suite 419, Monroe, MI 48162-2904 |
| Find all physicians in zip 48162 | |||
| City | MONROE |
| Zip Code | 48162 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MONROE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Laith J 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.