Denisa Despina Jacobs (NPI# 1801312616, PAC ID# 5597030890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801312616 |
| PAC ID by PECOS | 5597030890 |
| Professional Enrollment ID | I20171012003120 |
| Full Name | Denisa Despina Jacobs |
| Organization Legal Name | KETTERING NETWORK RADIOLOGISTS INC |
| Address |
825 N Main St Suite 140 Springboro OH 45066-2100 |
| Phone Number | 9377625000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7618960303 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| 360079 | KETTERING MEDICAL CENTER |
| 360360 | SOIN MEDICAL CENTER |
| 360026 | GREENE MEMORIAL HOSPITAL |
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| Address | Phone | Organization |
|---|---|---|
| 1977 Miamisburg Centerville Rd, Dayton, OH 45459-3811 | 9374396000 | KETTERING NETWORK RADIOLOGISTS INC |
| 580 Lincoln Park Blvd, Suite 200, Dayton, OH 45429-3493 | 9372990099 | KETTERING NETWORK RADIOLOGISTS INC |
| 6438 Wilmington Pike, Dayton, OH 45459-7022 | 9375583800 | KETTERING NETWORK RADIOLOGISTS INC |
| 7740 Washington Village Dr, Suite 140, Dayton, OH 45459-3994 | 9374397420 | KETTERING NETWORK RADIOLOGISTS INC |
| 8701 Old Troy Pike, Dayton, OH 45424-1066 | 9375583330 | KETTERING NETWORK RADIOLOGISTS INC |
| 450 B Washington Jackson Rd, Eaton, OH 45320-8699 | 9374568376 | KETTERING NETWORK RADIOLOGISTS INC |
| 3535 Southern Blvd, Kettering, OH 45429-1221 | 9372967227 | KETTERING NETWORK RADIOLOGISTS INC |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 9372967227 | KETTERING NETWORK RADIOLOGISTS INC |
| 825 N Main St, Suite 140, Springboro, OH 45066-2100 | 9377625000 | KETTERING NETWORK RADIOLOGISTS INC |
| 113 W National Rd, Vandalia, OH 45377-1934 | 9378989729 | KETTERING NETWORK RADIOLOGISTS INC |
| 1141 N Monroe Dr, Xenia, OH 45385-1619 | 9373522060 | KETTERING NETWORK RADIOLOGISTS INC |
| Organization Legal Name | KETTERING NETWORK RADIOLOGISTS INC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael I Levinson | Diagnostic Radiology | Kettering Network Radiologists Inc | 210 Treadwell St, Unit 403, Hamden, CT 06517-2356 |
| Louis Marone | Diagnostic Radiology | Kettering Network Radiologists Inc | 717 S Columbus Blvd, Suite 1602, Philadelphia, PA 19147-3514 |
| Maanasi Rajaram Burak | Diagnostic Radiology | Kettering Network Radiologists Inc | 3416 Drexel Dr, Dallas, TX 75205-2904 |
| Ana L Keppke | Diagnostic Radiology | Kettering Network Radiologists Inc | 6147 State Route 122, Middletown, OH 45005-5201 |
| Erich H Muckala | Diagnostic Radiology | Kettering Network Radiologists Inc | 5000 Tower Bridge Ct, Edmond, OK 73034-0857 |
| Dhananjay V Paranjpe | Diagnostic Radiology | Kettering Network Radiologists Inc | 405 Grand Ave, Dayton, OH 45405-4720 |
| Neil W Baron | Diagnostic Radiology | Kettering Network Radiologists Inc | 128 Corbata Ln, St Augustine, FL 32095-7097 |
| Wilfredo J Suntay | Diagnostic Radiology | Kettering Network Radiologists Inc | 100 Kettering Way, Franklin, OH 45005-1155 |
| Bryan J Canty | Diagnostic Radiology | Kettering Network Radiologists Inc | 4456 Ridgewood Ln S, Billings, MT 59106-4739 |
| Michael Caccamo | Diagnostic Radiology | Kettering Network Radiologists Inc | 3535 Southern Blvd, Kettering, OH 45429-1221 |
| Street Address |
825 N MAIN ST SUITE 140 |
| City | SPRINGBORO |
| State | OH |
| Zip | 45066-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Martin | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Michael Buch | Family Medicine | Alliance Physicians Inc | 825 N Main St, Springboro, OH 45066-1503 |
| Nicholas S Hirth | Family Medicine | Alliance Physicians Inc | 825 N Main St, Suite 140, Springboro, OH 45066-1503 |
| Dawn Marie Phelps | Obstetrics/gynecology | Cornerstone Medical Clinic Pllc | 825 N Main St, Suite 1, Harrison, AR 72601-2939 |
| Laney B Thorn | Nurse Practitioner | Alliance Physicians Inc | 825 N Main St, Springboro, OH 45066-1503 |
| Kassandra D Bond | Family Medicine | Alliance Physicians Inc | 825 N Main St, Springboro, OH 45066-1503 |
| F Ward Blair | Family Medicine | Alliance Physicians Inc | 825 N Main St, Springboro, OH 45066-1503 |
| Steven Mark Shrum | Internal Medicine | Cornerstone Medical Clinic Pllc | 825 N Main St, Suite 1, Harrison, AR 72601-2939 |
| Asa D Smith | Nurse Practitioner | Cornerstone Medical Clinic Pllc | 825 N Main St, Suite 1, Harrison, AR 72601-2939 |
| Todd William Christie | Physician Assistant | Alliance Physicians Inc | 825 N Main St, Springboro, OH 45066-1503 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent M Zoller | Chiropractic | 99 Edgebrook Dr, Springboro, OH 45066 | |
| Allen G Dubro | Optometry | Total Vision Centers, Inc | 851 W Centeral Ave, Springboro, OH 45066 |
| Lizbeth J Kuhn Hemmelgarn | Optometry | Total Vision Centers, Inc | 851 W Centeral Ave, Springboro, OH 45066 |
| Maureen K Perez | Family Medicine | Premier Integrated Medical Assoc Ltd | 243 W Central Ave, Springboro, OH 45066-1103 |
| Whitney Rondell Rosen | Physician Assistant | Alliance Physicians Inc | 243 W Central Ave, Springboro, OH 45066-1103 |
| Douglas E Romer | Family Medicine | Premier Integrated Medical Assoc Ltd | 243 W Central Ave, Springboro, OH 45066-1103 |
| Michael A Witt | Family Medicine | Premier Integrated Medical Assoc Ltd | 243 W Central Ave, Springboro, OH 45066-1103 |
| Amanda Elizabeth Gedeit | Family Medicine | Premier Integrated Medical Assoc Ltd | 243 W Central Ave, Springboro, OH 45066-1103 |
| Ling Xu | Neurology | Premier Integrated Medical Assoc Ltd | 243 W Central Ave, Springboro, OH 45066-1103 |
| Deanna M Allgeyer | Family Medicine | Premier Integrated Medical Assoc Ltd | 243 W Central Ave, Springboro, OH 45066-1103 |
| Find all physicians in zip 45066 | |||
| City | SPRINGBORO |
| Zip Code | 45066 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGBORO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Denisa Despina 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.