DR. JACOB POWELL (NPI# 1073897393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073897393 |
| Entity Type | Individual |
| Full Name | DR. JACOB POWELL |
| Credential | D.O. |
| Practice Address |
3851 Roger Brooke Dr # 3600 Department of Emergency Medicine Fort Sam Houston TX 78234-4501 |
| Practice Telephone | 2109166129 |
| Mailing Telephone | 2109166129 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2013-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | BP10044937 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487107231 | Jacob Robert Powell | Specialist/Technologist | 70 Fuller Ave, Swampscott, MA 01907-2150 | 2016-07-28 |
| 1710505144 | Jacob Lee Powell | Specialist/Technologist | 925 Union St Ste 3, Bangor, ME 04401-3051 | 2020-07-13 |
| 1407406192 | Jacob Powell | Case Manager/Care Coordinator | 2012 Highway 62 412, Highland, AR 72542-9477 | 2019-09-16 |
| 1396298113 | Jacob Powell | Behavioral Analyst | 2441 S Highway 27, Somerset, KY 42501-2935 | 2016-07-28 |
| 1376771733 | Jacob A Powell | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | 2009-06-24 |
| Street Address |
3851 ROGER BROOKE DR # 3600 DEPARTMENT OF EMERGENCY MEDICINE |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700222635 | Brit Jeffrey Long | Emergency Medicine | 3851 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234 | 2013-05-19 |
| 1376989285 | David Yang Ming Ong | Emergency Medicine | 3851 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234-4501 | 2013-05-18 |
| 1780905588 | Ronald David Anderson | Internal Medicine | 3851 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234-4501 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154733582 | Jacqueline Celeste Evans | Emergency Medicine | 3551 Roger Brooke Dr # 3600, Fort Sam Houston, TX 78234 | 2014-05-20 |
| 1578587341 | Dwayne Wilson | Emergency Medicine | 2454 Camp Travis, Fort Sam Houston, TX 78234-7671 | 2006-07-26 |
| 1548293905 | Robert A De Lorenzo | Emergency Medicine | Bamc - 3851 Roger Brooke Drive, Mche-qd (creds), Fort Sam Houston, TX 78234-6200 | 2006-07-09 |
| 1356313274 | Warren R Dalton | Emergency Medicine | 2484 Stanley Road, Suite 91, Bldg 2236, Defense Medical Readiness Training Institute, Fort Sam Houston, TX 78234 | 2006-02-03 |
| 1902883259 | Carolyn Arlene Tiffany | Emergency Medicine | 2050 Worth Rd, Medcom Qm, Fort Sam Houston, TX 78234-7533 | 2005-12-28 |
| 1821089806 | Marc Laurence Daymude | Emergency Medicine | Brooke Army Medical Center, Mche-qd/credentials, 3851 Roger Brooke Dr., Fort Sam Houston, TX 78234-6200 | 2005-10-31 |
| 1922098573 | Roberto Victor Hennessy | Emergency Medicine | 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | 2005-10-25 |
| 1740717081 | Jason Allan Ausman | Emergency Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2017-05-17 |
| 1811424617 | Craig David Nowadly | Emergency Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2017-05-11 |
| 1427583186 | Sean Griffiths | Emergency Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2017-05-01 |
| Find all providers in FORT SAM HOUSTON | ||||
| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.