MARIAMMA M JACOB (NPI# 1073863023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073863023 |
| Entity Type | Individual |
| Full Name | MARIAMMA M JACOB |
| Other Name | MARIAMMA M THOMAS |
| Credential | CPNP |
| Practice Address |
7800 Preston Rd Ste 300 Plano TX 75024-3236 |
| Practice Telephone | 9726083800 |
| Practice Fax Number | 9726083810 |
| Mailing Telephone | 9726083800 |
| Mailing Fax Number | 9726083810 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
557515 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619169679 | Mariamma Jacob | Special Hospital | 1000 W Carson St., Torrance, CA 90501 | 2007-08-14 |
| 1477539567 | Mariamma Jacob | Pediatrics | 451 Clarkson Ave, Brooklyn, NY 11203-2057 | 2005-12-20 |
| Street Address |
7800 PRESTON RD STE 300 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679521413 | Malini Mudduluru | Pediatrics | 7800 Preston Rd Ste 300, Plano, TX 75024 | 2006-05-04 |
| 1801247168 | Dana Moray Blair | Nurse Practitioner | 7800 Preston Rd Ste 300, Plano, TX 75024-3236 | 2016-06-28 |
| 1528412541 | Tam Phan | Pediatrics | 7800 Preston Rd Ste 300, Plano, TX 75024-3236 | 2016-04-15 |
| 1669760500 | Muaz Alwan | Pediatrics | 7800 Preston Rd Ste 300, Plano, TX 75024 | 2011-07-13 |
| 1538305339 | Charissa Charlene Tan | Pediatrics | 7800 Preston Rd Ste 300, Plano, TX 75024-3236 | 2008-12-29 |
| 1366650053 | Khanum Saleha | Pediatrics | 7800 Preston Rd Ste 300, Plano, TX 75024-3236 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275172900 | Fiona Ghosh Carruth | Nurse Practitioner | 6300 Stonewood Dr Ste 206, Plano, TX 75024-5281 | 2019-12-28 |
| 1558746610 | Renu Mathews | Nurse Practitioner | 2109 W Spring Creek Pkwy Ste 200, Plano, TX 75023-4518 | 2015-07-29 |
| 1326465766 | Kristina Annette Dickerson | Nurse Practitioner | 5425 W Spring Creek Pkwy Ste 175, Plano, TX 75024-4345 | 2014-03-24 |
| 1356778997 | Kristen Angela Langley | Nurse Practitioner | 4115 West 15th Street Suite 100, Plano, TX 75093 | 2013-09-27 |
| 1881955995 | Jessa Mckenzie Leslie | Nurse Practitioner | 3516 Thomas Ct, Plano, IL 60545-2239 | 2012-06-05 |
| 1821322140 | Susan R Carrington | Nurse Practitioner | 2109 W Spring Creek Pkwy Ste 101, Plano, TX 75023-4189 | 2009-09-21 |
| 1255402129 | Linda M Grande | Nurse Practitioner | 7211 Preston Rd Ste 1200, Plano, TX 75024 | 2006-11-13 |
| 1245791169 | Lauren Elise Alexander | Nurse Practitioner | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2019-03-26 |
| 1174097018 | Patricia Ann Bush | Nurse Practitioner | 6105 Windcom Ct Ste 100, Plano, TX 75093-7890 | 2019-01-14 |
| 1528514916 | Emily Holmes | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-08-26 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on MARIAMMA M 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.