DR. JACOB WERKIN (NPI# 1073946422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073946422 |
| Entity Type | Individual |
| Full Name | DR. JACOB WERKIN |
| Credential | M.D. |
| Practice Address |
400 Medical Park Dr Dover OH 44622-3207 |
| Mailing Address |
793 W State St Columbus OH 43222-1551 |
| Practice Telephone | 3303433433 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35.127328 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM | 390200000X | 01 |
| OH | STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM | 390200000X | 01 |
| Street Address |
400 MEDICAL PARK DR |
| City | DOVER |
| State | OH |
| Zip Code | 44622-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083018915 | Samantha Quillen | Nurse Practitioner | 400 Medical Park Dr, Suite 201, Dover, OH 44622-3207 | 2014-10-21 |
| 1659675791 | Staci Marie Marshall | Nurse Practitioner | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2011-01-04 |
| 1922231240 | Nicholas R Groch Do LLC | Otolaryngology | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2009-09-03 |
| 1831322155 | Melanie L Pence Do LLC | Otolaryngology | 400 Medical Park Dr, Suite 103, Dover, OH 44622-3207 | 2009-09-03 |
| 1558525998 | Miguel D Montagnese | Surgery | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2008-07-15 |
| 1003073297 | Cardiovascular Consultants, Inc. | Internal Medicine | 400 Medical Park Dr, Dover, OH 44622-3207 | 2008-05-16 |
| 1124036793 | Robert M Levitt | Specialist | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2006-08-03 |
| 1710938659 | Regional Vascular & Vein Institute, Inc | Surgery | 400 Medical Park Dr, Ste 203, Dover, OH 44622-3207 | 2006-05-15 |
| 1427039163 | Joseph N Zemis | Surgery | 400 Medical Park Dr, Suite 203, Dover, OH 44622-3207 | 2005-11-09 |
| 1457347619 | Kristi M Leindecker | Family Medicine | 400 Medical Park Dr, Suite 201, Dover, OH 44622-3207 | 2005-09-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
| 1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
| 1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
| 1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
| 1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
| 1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
| Find all providers in zip 44622 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619361573 | Laura Meiler | Surgery | 400 Medical Park Dr Ste 203, Dover, OH 44622-3207 | 2015-03-27 |
| 1295128833 | Accelecare Wound Professionals of Delaware, P.a. | Surgery | 73 Greentree Dr, #80, Dover, DE 19904-7646 | 2015-03-06 |
| 1659535193 | Rahul Singh | Surgery | 1102 N Dupont Highway, Ste 1, Dover, DE 19901-4493 | 2008-07-14 |
| 1407073794 | Patricia A Auty | Surgery | 750 Central Avenue Suite N, Seacoast General Surgery, Dover, NH 03820-3434 | 2007-04-19 |
| 1679694723 | Louis E Costa | Surgery | 230 Beiser Blvd Ste 200, Dover, DE 19904-7792 | 2007-04-03 |
| 1265464440 | Richard J Kline | Surgery | 17 South Warren St, Zufall Health Center, Dover, NJ 07801 | 2006-07-07 |
| 1033183959 | Phillips and Levitt Surgical Assoc Inc | Surgery | 340 Oxford St, Suite 220, Dover, OH 44622-1967 | 2006-02-15 |
| 1306829189 | Darrell W Carpenter | Surgery | 724 S New St, Dover, DE 19904-3540 | 2005-11-25 |
| 1881683936 | Willard Manning Daggett | Surgery | 7 Centre St, Dover, MA 02030-2203 | 2005-10-20 |
| 1386638807 | Edward Lee Alexander IIi | Surgery | 819 S Governors Ave, Dover, DE 19904-4158 | 2005-09-12 |
| Find all providers in DOVER | ||||
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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.