Mark Jacob (NPI# 1063688497, PAC ID# 4486827011) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1063688497 |
| PAC ID by PECOS | 4486827011 |
| Professional Enrollment ID | I20180626003693 |
| Full Name | Mark Jacob |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER GRATIOT |
| Address |
4851 E Pickard St Mt Pleasant MI 48858-2078 |
| Phone Number | 9894665486 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PULMONARY DISEASE |
| Group Practice PAC ID | 3375451404 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230030 | MIDMICHIGAN MEDICAL CENTER-GRATIOT |
| 230180 | MIDMICHIGAN MEDICAL CENTER-CLARE |
| 230222 | MIDMICHIGAN MEDICAL CENTER-MIDLAND |
| 231325 | MIDMICHIGAN MEDICAL CENTER-GLADWIN |
| 230095 | WEST BRANCH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4851 E Pickard St, Mt Pleasant, MI 48858-2078 | 9894665486 | MIDMICHIGAN MEDICAL CENTER GRATIOT |
| Organization Legal Name | MIDMICHIGAN MEDICAL CENTER GRATIOT |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Reichmann | Family Medicine | Midmichigan Medical Center Gratiot | 321 E Warwick Dr, Gratiot Medical Center, Alma, MI 48801-1084 |
| Tess Maria Gordon | Obstetrics/gynecology | Midmichigan Medical Center Gratiot | 320 E Warwick Dr, Alma, MI 48801-0001 |
| Nayab Qureshi | Family Medicine | Midmichigan Medical Center Gratiot | 330 E Warwick Dr, Alma, MI 48801-1014 |
| Cora J Pavlik | Nurse Practitioner | Midmichigan Medical Center Gratiot | 121 N Pine River St, Ithaca, MI 48847-1039 |
| Utibe Effiong | Internal Medicine | Midmichigan Medical Center Gratiot | 4851 E Pickard, Mt Pleasant, MI 48858-2078 |
| Mohamed W Akkad | Hematology/oncology | Midmichigan Medical Center Gratiot | 315 E Warwick Dr C, Midmichigan Medical Center Gratiot Oncology, Alma, MI 48801-0001 |
| Jeanine Ernest | Internal Medicine | Midmichigan Medical Center Gratiot | 200 E Warwick Dr, Internal Medicine Alma, Alma, MI 48801-1012 |
| Scott C Kastning | Physician Assistant | Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma, MI 48801-1014 |
| Matthew A Stack | Physician Assistant | Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma, MI 48801-1014 |
| Katelyn M Geitman | Physician Assistant | Midmichigan Medical Center Gratiot | 300 E Warwick Dr, Alma, MI 48801-1014 |
| Street Address |
4851 E PICKARD ST |
| City | MT PLEASANT |
| State | MI |
| Zip | 48858-2078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jinu Matew Puthenparampil | Internal Medicine | Midmichigan Medical Center Gratiot | 4851 E Pickard St, Mt Pleasant, MI 48858-2078 |
| Diane R Traenkle | Gynecological Oncology | Midmichigan Physicians Group | 4851 E Pickard St, Mount Pleasant, MI 48858-2078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Landon Revord | Chiropractic | 913 E Pickard St, Suite N, Mt Pleasant, MI 48858-1095 | |
| Tolga Kurt | Interventional Pain Management | 2305 Hawthorn Dr, Suite B, Mount Pleasant, MI 48858-1202 | |
| Tricia Lawton | Physician Assistant | Mclaren Central Michigan | 1970 Ashland Dr, Mt Pleasant, MI 48858-1203 |
| Debra J Allore | Physician Assistant | Mclaren Central Michigan | 1970 Ashland Dr, Mt Pleasant, MI 48858-1203 |
| Dennis W Whitford | Chiropractic | 625 N Main, Mt Pleasant, MI 48858-1500 | |
| Kiara Winsor | Nurse Practitioner | Isabella Urgent Care Pllc | 520 N Mission St, Mt Pleasant, MI 48858-1828 |
| Amy Painter | Nurse Practitioner | Isabella Urgent Care Pllc | 520 N Mission St, Mt Pleasant, MI 48858-1828 |
| Julie Lim Casipit | Physical Therapy | 2245 S Isabella Rd, Mt Pleasant, MI 48858-2051 | |
| Joseph I Shawi | Obstetrics/gynecology | Mclaren Central Michigan | 4599 Jennifer Ln, Mt Pleasant, MI 48858-2064 |
| Zubair A Shaikh | Neurology | Mid-michigan Neurology Center, Pllc | 4595 Jennifer Lane, Mount Pleasant, MI 48858-2064 |
| Find all physicians in zip 48858 | |||
| City | MT PLEASANT |
| Zip Code | 48858 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | MT PLEASANT + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Mark 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.