ANCY JACOB (NPI# 1104358910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104358910 |
| Entity Type | Individual |
| Full Name | ANCY JACOB |
| Practice Address |
1201 Hadley Rd Mooresville IN 46158-1737 |
| Mailing Address |
Po Box 781076 Detroit MI 48278-1076 |
| Practice Telephone | 3178343263 |
| Practice Fax Number | 3178345194 |
| Mailing Telephone | 3175284800 |
| Mailing Fax Number | 3178651479 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01083982A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 Hadley Rd, Mooresville, IN 461581737 | 3178343263 | 3178345194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457779639 | Ancy Chakkalakal Jacob | Registered Nurse | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2014-04-03 |
| Street Address |
1201 HADLEY RD |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807449 | Christopher A Prater | Anesthesiology | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2006-05-15 |
| 1669086864 | Katherine Miller | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2020-09-04 |
| 1861028094 | Trisha Renee Gearld | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2020-03-19 |
| 1467926394 | Kimberly Pearl Hankenhoff | Registered Nurse | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2019-01-14 |
| 1841768413 | Lauren Kristine Hatter | Nurse Practitioner | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-11-12 |
| 1376040493 | Lori Renee Clark | Dietitian, Registered | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-04-06 |
| 1720587371 | Sheri Lynn Burkhalter | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-02-09 |
| 1124526447 | Theresa R Yoder | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-02-01 |
| 1144761057 | Kelly L. Prather | Nurse Practitioner | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2017-03-10 |
| 1659725430 | Tracy Martin | Registered Nurse | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854303 | Piedmont Healthcare, Pa | Internal Medicine | 548 Williamson Rd Ste 6, Mooresville, NC 28117-9111 | 2019-01-07 |
| 1457853079 | Hospitalist Solution, Pllc | Internal Medicine | 112a Argus Ln # 210, Mooresville, NC 28117-6977 | 2018-02-28 |
| 1477891810 | Carolinas Physicians Network Inc | Internal Medicine | 119 Market Place Ave, Ste D, Mooresville, NC 28117-8189 | 2013-01-18 |
| 1457675241 | William Farnham Taylor | Internal Medicine | 175 Carriage Club Dr, 6-301, Mooresville, NC 28117-9003 | 2010-03-23 |
| 1376703330 | Peter Jay Enyeart | Internal Medicine | 400 E Statesville Ave Ste 300, Mooresville, NC 28115-2588 | 2008-06-12 |
| 1174729214 | Stephen Robert Giordano | Internal Medicine | 171 Fairview Road, Mooresville, NC 28117 | 2007-06-25 |
| 1073527339 | Khawaja A. Rehman | Internal Medicine | 107 Assembly Dr, Unit 112, Mooresville, NC 28117-5419 | 2006-07-29 |
| 1760408348 | Community Hospitals of Indiana Inc | Internal Medicine | 461 Town Center St N, Mooresville, IN 46158-2316 | 2006-07-15 |
| 1851332100 | Michael A. Rawlings | Internal Medicine | 820 N. Samuel Moore Pkwy., Ste A, Mooresville, IN 46158-1467 | 2006-06-09 |
| 1487694113 | Katharina M. Weber | Internal Medicine | 820 N Samuel Moore Pkwy, Suite A, Mooresville, IN 46158-1467 | 2006-06-08 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.