LISA JACOBS (NPI# 1063451714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063451714 |
| Entity Type | Individual |
| Full Name | LISA JACOBS |
| Credential | M.D. |
| Practice Address |
4940 Eastern Ave Baltimore MD 21224-2735 |
| Mailing Address |
Po Box 64563 Baltimore MD 21264-4563 |
| Practice Telephone | 4105500400 |
| Mailing Telephone | 4432872778 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
D61193 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 404182800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351042 | Lisa Ann Jacobs | General Practice | 251 Sunset Rd., Fitzwilliam, NH 03447 | 2010-03-08 |
| 1932679552 | Lisa Jacobs | Speech-Language Pathologist | 2644 Riva Rd, Annapolis, MD 21401-7427 | 2018-11-26 |
| 1134598428 | Lisa Jacobs | Pharmacist | 500 University Dr, Mail Code Ch80, Hershey, PA 17033-2360 | 2015-09-17 |
| 1376937367 | Lisa Jacobs | Pediatrics | 17100 Euclid Street, Picu, Fountain Valley, CA 92708 | 2015-03-27 |
| 1316366347 | Lisa Jacobs | Student in an Organized Health Care Education/Training Program | 3535 Market St, Second Floor, Philadelphia, PA 19104-3309 | 2014-04-07 |
| 1316209232 | Lisa J Jacobs | Dental Hygienist | 52 Christian Ridge Rd, Ellsworth, ME 04605 | 2012-06-15 |
| 1407003288 | Lisa A Jacobs | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2008-08-22 |
| 1871758102 | Lisa Ellen Jacobs | Nurse Practitioner | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2008-07-25 |
| 1104958305 | Lisa Marion Jacobs | Psychologist | 55 Woodland Ave, Summit, NJ 07901-2112 | 2007-03-12 |
| 1184754368 | Lisa Jacobs | Physical Therapist | 524 Irving St Nw, Washington, DC 20010-2904 | 2007-03-06 |
| Street Address |
4940 EASTERN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21224-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841295714 | Jerome M Shier | Allergy & Immunology | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2005-06-16 |
| 1740889609 | Haimanot Mulat | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-21 |
| 1457958704 | Ashley B Gemon | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-10-08 |
| 1235756800 | Lauren Kerrigan | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-30 |
| 1568086692 | Kathleen Campbell Mckenzie | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-06-04 |
| 1639791197 | Sharice Cheng | Physician Assistant | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-05-07 |
| 1679194799 | John Donald Giles | Nurse Practitioner | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-29 |
| 1598386971 | Meiyappan Udayappan | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-27 |
| 1972123370 | Molly Elizabeth Maresca Atwood | Psychologist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-26 |
| 1982224887 | Ofure Anita Akhiwu | Student in an Organized Health Care Education/Training Program | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710595517 | Lisa Farinelli | Registered Nurse | 251 Bayview Bldv, Baltimore, MD 21224 | 2020-07-17 |
| 1891303038 | Lorenzo Leggio | General Practice | Nih/nida, Bayview Campus, Brc, 251 Bayview Boulevard, Room 01a844, Baltimore, MD 21224 | 2020-07-14 |
| 1922622737 | Johns Hopkins Bayview Medical Center, Inc. | Community/Behavioral Health | 5500 E. Lombard Street, Room 1025, Baltimore, MD 21224 | 2020-06-08 |
| 1558995670 | Myeong Hyun Chae | Dentist | 7839 Eastern Ave, Baltimore, MD 21224 | 2020-02-27 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1194288431 | Tawny Meagan Epperson | Counselor | 5500 E Lombard Street, Community Psychiatry, Child Mobile Treatment Services, Baltimore, MD 21224 | 2019-04-12 |
| 1437613163 | Johns Hopkins University | Internal Medicine | 5210 Eastern Avenue, Alpha Center, Baltimore, MD 21224 | 2019-01-28 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| 1588193437 | Heather Ann Sand | Social Worker | 1501 S Clinton Street, Mailstop Ct 05-13, Baltimore, MD 21224 | 2017-06-05 |
| 1912447822 | Jennifer Ann Maser Hermann | Counselor | 4637 Hudson Street, Baltimore, MD 21224 | 2017-02-27 |
| Find all providers in zip 21224 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389870 | Mukund S. Didolkar | Surgery | 2435 W Belvedere Ave, Suite 46, Baltimore, MD 21215-5224 | 2005-07-12 |
| 1205199874 | Richard Birkett | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2012-06-19 |
| 1073880183 | Sinai Hospital of Baltimore, Inc | Surgery | 2401 W Belvedere Ave, Lapidus Cancer Institute, Baltimore, MD 21215-5216 | 2011-11-18 |
| 1346539566 | Yinin Hu | Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201-7003 | 2011-03-29 |
| 1629386016 | Eman Samih Sbaity | Surgery | 600 N Wolfe St, Carnegie 686, Baltimore, MD 21287-0005 | 2010-09-20 |
| 1194985614 | Jonathan B Greer | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2008-06-10 |
| 1912179821 | Richard Burkhart | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2008-03-31 |
| 1700080439 | Arun A Mavanur | Surgery | 2401 W Belvedere Ave, 1st Floor Main, Baltimore, MD 21215-5216 | 2007-06-14 |
| 1649370750 | John Ackerman Olson Jr. | Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2006-09-25 |
| 1437173036 | Surgical Oncology Associates Md-pa | Surgery | 2401 W Belvedere Ave, First Floor, Main, Baltimore, MD 21215-5216 | 2006-07-27 |
| Find all providers in BALTIMORE | ||||
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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.