JEFFREY T JACOB (NPI# 1073715686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073715686 |
| Entity Type | Individual |
| Full Name | JEFFREY T JACOB |
| Credential | MD |
| Practice Address |
46325 W 12 Mile Rd Ste 100 Novi MI 48377 |
| Practice Telephone | 8777843667 |
| Practice Fax Number | 2488693982 |
| Mailing Telephone | 8777843667 |
| Mailing Fax Number | 2488693982 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 50861 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | RAILROAD MEDICARE | P01152444 | 01 |
| IA | ENROLLED | 05 | |
| WI | ENROLLED | 05 | |
| MN | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467723205 | Jeffrey H Jacob | Acupuncturist | 1561 Crescent Drive, Tarrytown, NY 10591-5844 | 2012-01-25 |
| 1356528293 | Jeffrey A. Jacob | Physical Therapist | 50505 Schoenherr Rd Ste 210, Shelby Twp, MI 48315-3140 | 2008-01-23 |
| 1891324729 | Jeffrey Jacob | Student in an Organized Health Care Education/Training Program | 677 Church Street, Marrietta, GA 30060 | 2020-04-03 |
| 1568693570 | Jeffrey T Jacob | Dentist | 906 Royal Ct, Medford, OR 97504 | 2009-08-07 |
| 1558429969 | Jeffrey John Jacob | Physical Therapist | 4053 S Lapeer Rd, Suite C, Metamora, MI 48455-8721 | 2006-12-05 |
| 1376634204 | Jeffrey Howard Jacob | Optometrist | 3819 Vaile Ave, Florissant, MO 63034-2227 | 2006-09-27 |
| Street Address |
46325 W 12 MILE RD STE 100 |
| City | NOVI |
| State | MI |
| Zip Code | 48377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420014 | Jean Anna Jaffke | Colon & Rectal Surgery | 46325 W 12 Mile Rd, 325, Novi, MI 48377-2456 | 2005-07-13 |
| 1982029344 | Virginia Battel | Obstetrics & Gynecology | 46325 W 12 Mile Rd, Suite 250, Novi, MI 48377-2456 | 2014-02-21 |
| 1619227477 | Cristina J Morales | Physical Therapist | 46325 W 12 Mile Rd, Ste 125, Novi, MI 48377-2456 | 2012-09-19 |
| 1740542141 | Jennifer Debra Borson | Obstetrics & Gynecology | 46325 W 12 Mile Rd, Suite 250, Novi, MI 48377-2456 | 2012-06-12 |
| 1225343387 | Adebowale Olugbenga Adegbenro | Chiropractor | 46325 W 12 Mile Rd, Ste 100, Novi, MI 48377 | 2010-08-13 |
| 1780824862 | Patricia Ann Ogg | Physical Therapist | 46325 W 12 Mile Rd, Suite 125, Novi, MI 48377-2456 | 2009-03-02 |
| 1568626703 | Keri J Thompson | Obstetrics & Gynecology | 46325 W 12 Mile Rd, Suite 250, Novi, MI 48377-2456 | 2008-07-16 |
| 1285682484 | Alan Kwaselow Md, PC | Allergy & Immunology | 46325 W 12 Mile Rd, Suite 215, Novi, MI 48377 | 2006-05-04 |
| 1689655185 | Carrie J Stewart | Physical Medicine & Rehabilitation | 46325 W 12 Mile Rd, Ste 100, Novi, MI 48377 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629451901 | Dejan Slavnic | Neurological Surgery | 42758 Georgetown, Novi, MI 48375-1766 | 2015-07-03 |
| 1467509547 | University Neurosurgical Associates, PC | Neurological Surgery | 46325 Twelve Mile Road, Suite 100, Novi, MI 48377 | 2007-01-04 |
| 1528469608 | University Neurosurgical Associates | Neurological Surgery | 25500 Meadowbrook Rd, Ste. 240, Novi, MI 48375-1878 | 2014-09-09 |
| 1437206539 | University Neurosurgical Associates, PC | Neurological Surgery | 26850 Providence Pkwy, Ste 240, Novi, MI 48374-1213 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026205 | Clark J Okulski | Neurological Surgery | 15366 Windmill Pointe Dr, Grosse Pointe Park, MI 48230-1744 | 2020-02-25 |
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1750871745 | Sara Saleh | Neurological Surgery | 1500 E Medical Center Dr Spc 5338, Ann Arbor, MI 48109-5338 | 2018-05-15 |
| 1639608664 | Aaron Rapp | Neurological Surgery | 3601 W 13 Mile Rd Dept, Gme Dept. Neurosurgery, Royal Oak, MI 48073-6712 | 2017-06-04 |
| 1386171775 | Inscribed Pllc | Neurological Surgery | 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025-5814 | 2017-05-16 |
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1467842955 | Institute of General and Endovascular Neurosurgery | Neurological Surgery | 1295 S. Linden Road, Suite A, Flint, MI 48532 | 2015-02-04 |
| 1437566783 | Dali Yin | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507 | 2014-07-18 |
| 1235558990 | Mirjon Bishja | Neurological Surgery | 800 Cooper Ave Ste 11, Saginaw, MI 48602-5373 | 2014-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEFFREY T JACOB.
| 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.