Jacob M Jones (NPI# 1780720201, PAC ID# 9537231584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1780720201 |
| PAC ID by PECOS | 9537231584 |
| Professional Enrollment ID | I20100810001047 |
| Full Name | Jacob M Jones |
| Organization Legal Name | RETINA CENTER PA |
| Address |
2485 Maplewood Dr Suite 213 Maplewood MN 55109-1980 |
| Phone Number | 6517735987 |
| Gender | M |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3971695917 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240057 | ABBOTT NORTHWESTERN HOSPITAL |
| 240004 | HENNEPIN COUNTY MEDICAL CENTER 1 |
| Address | Phone | Organization |
|---|---|---|
| 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 | 6517735987 | RETINA CENTER PA |
| 701 Park Ave, Minneapolis, MN 55415-1623 | 6128733000 | HENNEPIN HEALTHCARE SYSTEM INC |
| 710 E 24th St, Suite 304, Minneapolis, MN 55404-3846 | 6128712292 | RETINA CENTER PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 93% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RETINA CENTER PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdhish R Bhavsar | Ophthalmology | Retina Center Pa | 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 |
| Robert Mames | Ophthalmology | Retina Center Pa | 6400 W Newberry Rd, Suite 301, Gainesville, FL 32605-6603 |
| Yevgeniy Vladimirovich Sychev | Ophthalmology | Retina Center Pa | 710 E 24th St, Suite 304, Minneapolis, MN 55404-3846 |
| Michael W Hines | Ophthalmology | Retina Center Pa | 6400 W Newberry Rd, Suite 301, Gainesville, FL 32605-6603 |
| Michael Vaughn Emerson | Ophthalmology | Retina Center Pa | 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 |
| Geoffrey Emerson | Ophthalmology | Retina Center Pa | 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 |
| Street Address |
2485 MAPLEWOOD DR SUITE 213 |
| City | MAPLEWOOD |
| State | MN |
| Zip | 55109-1980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abdhish R Bhavsar | Ophthalmology | Retina Center Pa | 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 |
| Michael Vaughn Emerson | Ophthalmology | Retina Center Pa | 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 |
| Geoffrey Emerson | Ophthalmology | Retina Center Pa | 2485 Maplewood Dr, Suite 213, Maplewood, MN 55109-1980 |
| Nicholas Charles Okins | Chiropractic | 2485 Maplewood Dr, Suite 215, Maplewood, MN 55109-1980 | |
| Eric A Starbuck | Chiropractic | Dr Eric Starbuck Dc LLC | 2485 Maplewood Dr, Suite 215, Maplewood, MN 55109-1980 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Blackburn | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| James P Davig | Psychologist, Clinical | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| Jane C Dever | Psychiatry | Group Health Plan Inc | 2688 Maplewood Dr, Maplewood, MN 55109-1021 |
| David H Hess | Optometry | 1431 Beam Ave, Maplewood, MN 55109-1064 | |
| Admatha Muthyala Winfred | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Lori A Fisher | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Rahul Koranne | Internal Medicine | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Mark K Thalacker | Nurse Practitioner | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Ryan H Ban | Hospitalist | Healtheast Medical Research Institute | 1575 Beam Ave, Maplewood, MN 55109-1126 |
| Find all physicians in zip 55109 | |||
| City | MAPLEWOOD |
| Zip Code | 55109 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MAPLEWOOD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jacob M Jones.
| 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.