Michael Robert Jacoby (NPI# 1811911993, PAC ID# 5698757136) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1811911993 |
| PAC ID by PECOS | 5698757136 |
| Professional Enrollment ID | I20170508000135 |
| Full Name | Michael Robert Jacoby |
| Organization Legal Name | CITRUS SPECIALTY GROUP INC |
| Address |
403 W Highland Blvd Inverness FL 34452-4717 |
| Phone Number | 3527263646 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1971 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8022331255 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 403 W Highland Blvd, Inverness, FL 34452-4717 | 3527263646 | CITRUS SPECIALTY GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CITRUS SPECIALTY GROUP INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Abbott Street Mateer | Obstetrics/gynecology | Citrus Specialty Group Inc | 221 Mariner Blvd, Spring Hill, FL 34609-5692 |
| Honey Milestone | Obstetrics/gynecology | Citrus Specialty Group Inc | 800 Medical Court E, Inverness, FL 34452-4612 |
| Melanie L Dryden | Nurse Practitioner | Citrus Specialty Group Inc | 800 Medical Ct E, Inverness, FL 34452-4612 |
| Samir M Shakfeh | Obstetrics/gynecology | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Michele A Cofield | Obstetrics/gynecology | Citrus Specialty Group Inc | 800 Medical Ct E, Inverness, FL 34452-4612 |
| Anne M Holloman | Certified Nurse Midwife (cnm) | Citrus Specialty Group Inc | 221 Mariner Blvd, Spring Hill, FL 34609-5692 |
| James Otto | Vascular Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Avinash Laxman Jadhav | Orthopedic Surgery | Citrus Specialty Group Inc | 131 S Citrus Ave, Suite 301, Inverness, FL 34452-4701 |
| Torr E Carmain | General Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Parth U Patel | General Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Street Address |
403 W HIGHLAND BLVD |
| City | INVERNESS |
| State | FL |
| Zip | 34452-4717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samir M Shakfeh | Obstetrics/gynecology | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| James Otto | Vascular Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Torr E Carmain | General Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Parth U Patel | General Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Edmund F Funai | Obstetrics/gynecology | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Marc E Fernandez | General Surgery | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Regina G Epple | Nurse Practitioner | Citrus Specialty Group Inc | 403 W Highland Blvd, Inverness, FL 34452-4717 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meena R Nathan | Internal Medicine | 840 S Bea Ave, Inverness, FL 34452-3603 | |
| Rama V Nathan | Otolaryngology | 820 S Bea Ave, Inverness, FL 34452-3603 | |
| Vikas G Kamat | Internal Medicine | Meena R Nathan Md Pa | 840 S Bea Ave, Inverness, FL 34452-3603 |
| Charles K Zachar | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Mark D Jacobson | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Riccardo M De Girolami | Diagnostic Radiology | Inverness Medical Imaging, LLC | 2105 Hwy 44 W, Inverness, FL 34452-3805 |
| Derek D Benthusen | Physical Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Laura Mae Mazelis | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Sherrie Kearse Ramsay | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Kristina Shipman | Occupational Therapy | Achievement Rehabilitation Through Therapeutic Intervention, Inc. | 130 Heights Ave, Inverness, FL 34452-4571 |
| Find all physicians in zip 34452 | |||
| City | INVERNESS |
| Zip Code | 34452 |
| Specialty | GENERAL SURGERY |
| City + Specialty | INVERNESS + GENERAL SURGERY |
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| 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.