Jonathan M Jacobs (NPI# 1114919917, PAC ID# 5496650855) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1114919917 |
| PAC ID by PECOS | 5496650855 |
| Professional Enrollment ID | I20071009000430 |
| Full Name | Jonathan M Jacobs |
| Organization Legal Name | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
| Address |
1259 Fisher Ave Cortland NY 13045-1012 |
| Phone Number | 6077564600 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1987 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5991775553 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1259 Fisher Ave, Cortland, NY 13045-1012 | 6077564600 | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
| 4939 Brittonfield Pkwy, Suite 202, East Syracuse, NY 13057-9208 | 3154522555 | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
| 5100 W Taft Rd, Liverpool, NY 13088-4841 | ST. JOSEPHS IMAGING ASSOCIATES PLLC | |
| 300 State Route 104, Suite 3, Oswego, NY 13126-2956 | 3152166060 | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
| 91 Perimeter Rd, Suite 110, Rome, NY 13441-4018 | 3153349729 | MOHAWK GLEN RADIOLOGY ASSOCIATES OF CNY PLLC |
| 104 Union Ave Moc, Suite 905, Syracuse, NY 13203-1843 | 3157035114 | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
| 301 Prospect Ave, Syracuse, NY 13203-1807 | 3154485274 | PROSPECT HILL RADIOLOGY GROUP PC |
| Organization Legal Name | ST. JOSEPHS IMAGING ASSOCIATES PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rajan Murthy | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 109 Pine St, Syracuse, NY 13210-1149 |
| Scott G Channels | Physician Assistant | St. Josephs Imaging Associates Pllc | 4109 Medical Ctr Dr, Fayetteville, NY 13066-6600 |
| John P Teixeira Iii | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
| Juno Lee | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Shain S Wallis | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
| Mary T Kapfer | Nurse Practitioner | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
| Lawrence C Calabrese | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Philip J Fraccola | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-4841 |
| Street Address |
1259 FISHER AVE |
| City | CORTLAND |
| State | NY |
| Zip | 13045-1012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher H Moheimani | General Surgery | Regional Medical Practice, PC | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Adam M Miller | Ophthalmology | Regional Medical Practice, PC | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Juno Lee | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Lawrence C Calabrese | Diagnostic Radiology | St. Josephs Imaging Associates Pllc | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Monika Radloff | Sports Medicine | Cayuga Medical Associates PC | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Nikkie S Strauf | Nurse Practitioner | Familycare Medical Group PC | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Biswarup Syam | Gastroenterology | 1259 Fisher Ave, Cortland, NY 13045-1012 | |
| Jabbar Saliba | General Surgery | Regional Medical Practice, PC | 1259 Fisher Ave, Cortland, NY 13045-1012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Dennis Bickings | Certified Registered Nurse Anesthetist (crna) | Gulfstream Anesthesia Consultants Pa | 134 Cortland Regional Medical Ctr, Cortland, NY 13045 |
| Margaret M Abran | Certified Registered Nurse Anesthetist | Gulfstream Anesthesia Consultants Pa | 134 Cortland Regional Medical Ctr, Cortland, NY 13045 |
| Mohammad Fahad Ali | Gastroenterology | Regional Medical Practice, PC | 11 Alvena Ave, Suite 105, Cortland, NY 13045-1100 |
| James Smith | Chiropractic | 58 W Main St, Cortland, NY 13045-1139 | |
| Ngozi C Mezu | Infectious Disease | Regional Medical Practice, PC | 134 Homer Ave, Cortland, NY 13045-1206 |
| Bruce C Slagle | Family Medicine | Regional Medical Practice, PC | 134 Homer Ave, Cortland, NY 13045-1206 |
| Susan E Jewett | Physician Assistant | Regional Medical Practice, PC | 134 Homer Ave, Cortland, NY 13045-1206 |
| Steven J Elliott | Emergency Medicine | Emergency Medicine Physicians of Cortland County, Pllc | 134 Homer Ave, Cortland, NY 13045-1206 |
| Mahmoud Chehab | Urology | Regional Medical Practice, PC | 134 Homer Ave, Cortland, NY 13045-1206 |
| Peter Raymond Iannotta | Physician Assistant | Regional Medical Practice, PC | 134 Homer Ave, Cortland, NY 13045-1206 |
| Find all physicians in zip 13045 | |||
| City | CORTLAND |
| Zip Code | 13045 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CORTLAND + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jonathan M 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.