JUDITH L. JACOBUS, M.D. (NPI# 1013047133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013047133 |
| Entity Type | Organization |
| Organization Name | JUDITH L. JACOBUS, M.D. |
| Practice Address |
1701 12th Ave. Bldg F Altoona PA 16601 |
| Mailing Address |
4200 Harewood Rd Ne Washington DC 20017-1511 |
| Practice Telephone | 8149448012 |
| Practice Fax Number | 8149444852 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MISS JUDITH L JACOBUS (OWNER) |
| Authorized Official Telephone | 8149448012 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD044442E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012014890005 | 05 |
| Street Address |
1701 12TH AVE. BLDG F |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1952839300 | Anthony R Hafez | Family Medicine | 501 Howard Ave Ste F4, Altoona, PA 16601-4818 | 2017-05-30 |
| 1154784833 | Steven Long | Family Medicine | 3085 Meadowlark Ln, Altoona, WI 54720-2656 | 2016-03-31 |
| 1760898795 | Matthew Nicholson | Family Medicine | 160 Adventureland Dr Nw Ste C, Altoona, IA 50009 | 2014-07-10 |
| 1639240344 | Elias Mounif Rifkah | Family Medicine | 120 Chestnut Ave, Altoona, PA 16601-4926 | 2006-11-13 |
| 1780622621 | Pinecroft Medical Center | Family Medicine | 417 Sabbath Rest Rd Ste 3, Altoona, PA 16601-7567 | 2006-06-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1265492458 | Debra Ann Sixta | Family Medicine | 2720 8th St Sw, Altoona, IA 50009-1028 | 2006-03-23 |
| 1982670485 | Joseph William Coppola Jr. | Family Medicine | 753 8th St Sw, Altoona, IA 50009 | 2006-02-24 |
| 1699746990 | Fidelis O Ejianreh | Family Medicine | 2032 E Pleasant Valley Blvd, Altoona, PA 16602 | 2006-01-27 |
| Find all providers in ALTOONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.