DR. ALLEN M JACOBS (NPI# 1023115177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023115177 |
| Entity Type | Individual |
| Full Name | DR. ALLEN M JACOBS |
| Credential | DPM |
| Practice Address |
6400 Clayton Rd Ste 402 Saint Louis MO 63117-1850 |
| Practice Telephone | 3143676545 |
| Practice Fax Number | 3143677038 |
| Mailing Telephone | 3143676545 |
| Mailing Fax Number | 3143677038 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000436 | MO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760425805 | Allen Irvin Jacobs | Dentist | 184 Academy St, Presque Isle, ME 04769-3196 | 2006-06-14 |
| 1467410464 | Allen T Jacobs | Internal Medicine | 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 | 2006-05-02 |
| Street Address |
6400 CLAYTON RD STE 402 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966431 | Deborah J Garbo | Nurse Practitioner | 6400 Clayton Rd, Suite 212, Saint Louis, MO 63117-1850 | 2005-07-21 |
| 1528593928 | Maria Winsor | Nurse Practitioner | 6400 Clayton Rd, Saint Louis, MO 63117-1850 | 2017-04-24 |
| 1528500766 | Lauren R Neier | Physician Assistant | 6400 Clayton Rd, Suite 110, Saint Louis, MO 63117-1850 | 2016-11-04 |
| 1861841694 | Francisco Silva | Registered Nurse | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 | 2016-06-13 |
| 1780053652 | Clayton Medical Center | Specialist | 6400 Clayton Rd, Suite 303, Saint Louis, MO 63117-1850 | 2015-09-21 |
| 1437555653 | Kimberly Harsy | Registered Nurse | 6400 Clayton Rd, Ste. 303, Saint Louis, MO 63117-1850 | 2014-11-16 |
| 1033484175 | Raymond A. Brickhouse, Dpm LLC | Podiatrist | 6400 Clayton Rd, Suite 412, Saint Louis, MO 63117-1850 | 2012-03-21 |
| 1366766735 | Jaclyn Nicole Gill | Emergency Medicine | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2010-03-15 |
| 1205009552 | Sarah M Wilmsmeyer | Physician Assistant | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2008-04-08 |
| 1336312693 | Lori A Mccullough | Physician Assistant | 6400 Clayton Rd, Ste 110, Saint Louis, MO 63117-1850 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
| 1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
| 1669745501 | West County Foot and Ankle LLC | Podiatrist | 10004 Kennerly Rd Ste 300a, Saint Louis, MO 63128 | 2012-02-22 |
| 1255620340 | Blackmun Footcare LLC | Podiatrist | 2608 N 14th St, Saint Louis, MO 63106-3913 | 2011-03-29 |
| 1053623058 | Camille Patrice Ryans | Podiatrist | 11056 Oak Spur Ct Apt K, Saint Louis, MO 63146-1973 | 2010-07-07 |
| 1437314812 | Raymond Angelo Brickhouse Jr. | Podiatrist | 3535 S Jefferson Ave Ste 201, Saint Louis, MO 63118-3922 | 2008-07-24 |
| 1114068988 | Dr. Veda E. Lewis-simmons Dpm Mha LLC | Podiatrist | 10421 W Florissant Ave, Saint Louis, MO 63136-2342 | 2007-02-12 |
| 1346389095 | Foot & Ankle Center, LLC | Podiatrist | 11066 Olive Blvd, Saint Louis, MO 63141-7615 | 2007-02-06 |
| 1548325533 | Mid-west Podiatry & Associates, LLC | Podiatrist | 2 Millstone Campus Dr, Saint Louis, MO 63146-5776 | 2006-12-27 |
| 1477668606 | Nicolas Clay Martin | Podiatrist | 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 | 2006-08-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
Please comment or provide details below to improve the information on DR. ALLEN M JACOBS.
| 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.