JACOB MYLES MCLEOD


Address: 625 9th Ave Ste 210, Longview, WA 98632-2465
Phone: 3605013400

JACOB MYLES MCLEOD (NPI# 1083909329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083909329
Entity Type Individual
Full Name JACOB MYLES MCLEOD
Credential DPM
Practice Address 625 9th Ave Ste 210
Longview
WA 98632-2465
Practice Telephone 3605013400
Practice Fax Number 3604235682
Mailing Telephone 3605013400
Mailing Fax Number 3604235682
Enumeration Date 2011-06-15
Last Update Date 2015-12-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO60466892 WA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 1083909329 05
WA WASHINGTON L&I 0304956 01
WA 1083909329 05

Office Location

Street Address 625 9TH AVE STE 210
City LONGVIEW
State WA
Zip Code 98632-2465

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316990088 Anthony J Lauder Orthopaedic Surgery 625 9th Ave Ste 210, Longview, WA 98632-2465 2006-05-17
1407402845 Ashley N Hawkes Nurse Practitioner 625 9th Ave Ste 210, Longview, WA 98632-2465 2019-08-12
1033540919 Nichol Suzanne Halverson Nurse Practitioner 625 9th Ave Ste 210, Longview, WA 98632-2465 2013-12-03
1225169279 Peter Kung Orthopaedic Surgery 625 9th Ave Ste 210, Longview, WA 98632-2465 2007-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861495640 Ankle and Foot Clinic of Lower Columbia Pllc Podiatrist 1114 Broadway St, Longview, WA 98632-3842 2005-05-24
1093154189 Britton Scott Plemmons Podiatrist 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 2013-06-21
1245214246 Deloris Madim Rizqallah Podiatrist 701 E Marshall Ave, Suite 400, Longview, TX 75601-5659 2005-12-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598392599 Northern Cascades Foot and Ankle, LLC Podiatrist 532 E. Woodin Ave, Chelan, WA 98816-1852 2020-03-27
1801433784 South Hill Foot & Ankle Clinic Ps Podiatrist 3707 S Grand Blvd Ste A, Spokane, WA 99203-2762 2019-12-10
1679025902 Fasa Family Wellness, Pllc Podiatrist 2964 Limited Ln Nw, Suite B, Olympia, WA 98502-4577 2016-11-03
1356899363 Emily Wagler Podiatrist 34509 9th Ave S Ste 303, Federal Way, WA 98003-8709 2016-09-19
1821546540 Ata Podiatric and Integrative Medicine, Pllc Podiatrist 1950 Alaskan Way, Apt 526, Seattle, WA 98101-1075 2016-09-12
1376998179 Hyowon Choi Podiatrist 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 2016-04-28
1407210479 Philip Matthew Woods Podiatrist 1812 N 13th Loop Rd # 1, Shelton, WA 98584-2169 2016-04-06
1063897916 Yan Rong Cullen Podiatrist 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 2015-07-21
1972982023 Brittany Lynn Logan Podiatrist 10049 Kitsap Mall Blvd Nw Ste 109, Silverdale, WA 98383-8901 2015-05-21
1093194425 Silas Klaver Podiatrist 1607 Creekside Loop Ste 140, Yakima, WA 98902 2015-05-18
Find all providers with the same taxonomy

Competitor

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City LONGVIEW
Zip Code 98632

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Dataset Information

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.

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