DR. JONATHAN M. JACOBS


Address: 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807
Phone: 3154522555

DR. JONATHAN M. JACOBS (NPI# 1114919917) 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) 1114919917
Entity Type Individual
Full Name DR. JONATHAN M. JACOBS
Credential M.D.
Practice Address 5100 W Taft Rd
Suite 2a
Liverpool
NY 13088-3807
Mailing Address 4567 Crossroads Park Dr
2nd Floor
Liverpool
NY 13088-3589
Practice Telephone 3154522555
Practice Fax Number 3154522559
Mailing Telephone 3152952100
Mailing Fax Number 3152952125
Enumeration Date 2005-08-17
Last Update Date 2008-03-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
174853 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01428151 05

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1972563609 Jonathan H Jacobs Dentist 22811 Greater Mack Ave, Ste. L-10, St Clair Shores, MI 48080-2021 2006-03-25
1730685447 Jonathan Levi Jacobs Student in an Organized Health Care Education/Training Program 22 S Greene St Rm N3e09, Baltimore, MD 21201-1544 2018-04-02
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1912155193 Jonathan Patrick Jacobs Student in an Organized Health Care Education/Training Program 757 Westwood Plz, Los Angeles, CA 90095-8358 2008-08-31
1700082948 Jonathan Jacobs Pediatrics Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 2007-06-25
1942397021 Jonathan L Jacobs Internal Medicine 525 E 68th St, New York, NY 10021-4870 2006-10-09
1023123668 Jonathan S Jacobs Plastic Surgery 1037 First Colonial Rd, Virginia Beach, VA 23454-3037 2006-08-21

Office Location

Street Address 5100 W TAFT RD
SUITE 2A
City LIVERPOOL
State NY
Zip Code 13088-3807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023015500 Jody S Bleier Internal Medicine 5100 W Taft Rd, Suite 4j, Liverpool, NY 13088-3807 2005-06-30
1528620812 Colleen Byrnes Nurse Practitioner 5100 W Taft Rd, Liverpool, NY 13088-3807 2019-07-08
1851866727 Kathryn Quinn Manion Clinic/Center 5100 W Taft Rd, Liverpool, NY 13088-3807 2018-10-08
1225514623 Shannon M Roach Nurse Practitioner 5100 W Taft Rd, Liverpool, NY 13088-3807 2018-07-18
1497263826 Kimberly Cleary Registered Nurse 5100 W Taft Rd, Liverpool, NY 13088-3807 2018-01-19
1184077885 Maia Czarnecki Physician Assistant 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2016-07-18
1174974216 Jenna Marie Laskey Family Medicine 5100 W Taft Rd, Liverpool, NY 13088-3807 2016-06-30
1669838108 Phitsamai Thatvihane Nurse Practitioner 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2016-01-14
1992160188 Melissa Buttner Physician Assistant 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2015-12-15
1538532940 Chelsey Brooks Physician Assistant 5100 W Taft Rd, Suite 1c, Liverpool, NY 13088-3807 2015-11-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245878966 Anthony Edward Blumetti Psychologist 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 2019-12-12
1609350016 Alice Nellenbach Physical Therapy Assistant 346 Electronics Pkwy, Liverpool, NY 13088 2018-09-20
1043741457 Dawn Marie Thomas Licensed Practical Nurse 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 2017-03-27
1154775633 Arielle L Leonard Massage Therapist 609 7th N. Street, Suite 2, Liverpool, NY 13088 2016-04-20
1942664362 Accessibility Solutions, Inc. Contractor 115 Luther Avenue, Liverpool, NY 13088 2016-04-12
1497176333 Sergey Golovko Psychiatry & Neurology 125 Sun Harbor Dr, Liverpool, NY 13088 2013-12-19
1205275286 Brandon William Crandall Nurse Practitioner 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 2013-06-23
1184976805 Audrey Irene Tyszka Social Worker 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 2012-10-04
1790049096 Kelley Beth Burt Speech-Language Pathologist 110 Elwood Davis Road, Liverpool, NY 13088 2012-07-02
1811288954 Nedim Ruhotina Urology 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 2011-04-24
Find all providers in zip 13088

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932489309 Magnetic Resonance Imaging of Central New York, Pllc Radiology 5100 W Taft Rd, Liverpool, NY 13088-3807 2011-08-17
1356653729 Shain L Wallis Radiology 5100 West Taft Rd, Ste 2a, Liverpool, NY 13088 2010-07-13
1497728091 Christopher J Vaughn Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2006-02-13
1093709180 St. Josephs Imaging Associates Pllc Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-09-06
1215920996 Carmelita V Sanpedro Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-26
1053303040 Gary D Leavitt Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17
1265424261 Steven R Lindemann Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17
1164414066 Sherwin C Pollock Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17
1508858408 Bernard N Raasch Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17
1124010038 John P Teixeira Radiology 5100 W Taft Rd, Suite 2a, Liverpool, NY 13088-3807 2005-08-17
Find all providers in LIVERPOOL

Competitor

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City LIVERPOOL
Zip Code 13088

Improve Information

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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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