Ian M Jacobson (NPI# 1013057900, PAC ID# 6103803150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013057900 |
| PAC ID by PECOS | 6103803150 |
| Professional Enrollment ID | I20040707000720 |
| Full Name | Ian M Jacobson |
| Organization Legal Name | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Address |
39 E Ave Pawtucket RI 02860-4003 |
| Phone Number | 4013129813 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1985 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 8628045762 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9 Chestnut St, Central Falls, RI 02863-2005 | 4017220081 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| 39 E Ave, Pawtucket, RI 02860-4003 | 4013129813 | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Organization Legal Name | BLACKSTONE VALLEY COMMUNITY HEALTH CARE INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daijsia Melena Bubb | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Nicole Snapper | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Elana Schwam | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Anne Barylick | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Cristina Pacheco | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Carol S Cancro | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Kunjbala B Sharma | Family Medicine | Blackstone Valley Community Health Care Inc | 9 Chestnut St, Central Falls, RI 02863-2005 |
| Tirza Goncalves | Clinical Social Worker | Blackstone Valley Community Health Care Inc | 1000 Broad St, Central Falls, RI 02863-1507 |
| Katherene R Hofstetter | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Michael D Fine | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Street Address |
39 E AVE |
| City | PAWTUCKET |
| State | RI |
| Zip | 02860-4003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daijsia Melena Bubb | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Nicole Snapper | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Elana Schwam | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Anne Barylick | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Cristina Pacheco | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Carol S Cancro | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Katherene R Hofstetter | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Michael D Fine | Family Medicine | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Kelly A Cunningham | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Charlie Imonah | Nurse Practitioner | Blackstone Valley Community Health Care Inc | 39 E Ave, Pawtucket, RI 02860-4003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin D Klibanoff | Optometry | Klibanoff Eye Associates, Ltd | 55 Broad St, Pawtucket, RI 02860-2023 |
| David A Klibanoff | Optometry | Klibanoff Eye Associates, Ltd | 55 Broad St, Pawtucket, RI 02860-2023 |
| Mona Aoude Klibanoff | Optometry | Klibanoff Eye Associates, Ltd | 55 Broad St, Pawtucket, RI 02860-2023 |
| Melinda C Paiva | Clinical Social Worker | Gateway Healthcare Inc | 249 Roosevelt Ave, Pawtucket, RI 02860-2134 |
| Peter Butler | Occupational Therapy | Mind and Body Rehab LLC | 461 Main St, Pawtucket, RI 02860-2913 |
| Jonathan Kaplan | Optometry | The Eyeglass Store Inc | 2 Dexter St, Pawtucket, RI 02860-2996 |
| Anne F Kiernan | Optometry | The Eyeglass Store Inc | 2 Dexter St, Pawtucket, RI 02860-2996 |
| Christopher Herzig | Chiropractic | 196 Cottage St, Pawtucket, RI 02860-3004 | |
| Patricia A Hogan-casey | Chiropractic | 215 Cottage St, Wholistic Chiropractic Center, Pawtucket, RI 02860-3026 | |
| Joyce Coppola | Internal Medicine | 174 Armistice Blvd, Unit C, Pawtucket, RI 02860-3210 | |
| Find all physicians in zip 02860 | |||
| City | PAWTUCKET |
| Zip Code | 02860 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | PAWTUCKET + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Ian M Jacobson.
| 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.