JACOB DEAN (NPI# 1124550959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124550959 |
| Entity Type | Individual |
| Full Name | JACOB DEAN |
| Practice Address |
257 Marysville Ln Port Matilda PA 16870-7230 |
| Practice Telephone | 8143279507 |
| Mailing Telephone | 8143279507 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932172467 | Jacob Thomas Dean | Family Medicine | 7790 Dayton Rd, Suite B, Fairborn, OH 45324-1442 | 2006-02-07 |
| 1568730307 | Jacob Tao Dean | Physician Assistant | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2011-12-08 |
| Street Address |
257 MARYSVILLE LN |
| City | PORT MATILDA |
| State | PA |
| Zip Code | 16870-7230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063732717 | St. Joseph Institute | Substance Abuse Rehabilitation Facility | 134 Jacobs Way, Port Matilda, PA 16870 | 2010-06-04 |
| 1548444268 | Georgianna M Achilles | Psychologist | 454 Rolling Ridge Dr., Port Matilda, PA 16870 | 2007-12-18 |
| 1497803605 | Paul Hughes | Dentist | 101 Briar Court, Port Matilda, PA 16870 | 2007-01-08 |
| 1992896237 | Patrick A. Jarvie | Pediatrics | Geisinger Pediatrics, 132 Abigail Lane, Port Matilda, PA 16870 | 2006-09-28 |
| 1316948011 | Port Matilda Emergency Medical Services | Ambulance | 402 S High St, Port Matilda, PA 16870 | 2005-08-03 |
| 1366934101 | Karen Marie Brooks | Registered Nurse | 132 Abigail Lane, Port Matilda, PA 16870 | 2018-06-06 |
| 1023556677 | Shahida Fareed | Psychologist | 132 Abigail Ln, Port Matilda, PA 16870 | 2017-02-03 |
| 1326410622 | Nickol Marie Cleary | Physical Therapist | 785 E Mountain Rd, Port Matilda, PA 16870 | 2015-10-26 |
| 1417323031 | Anne Sommerfeld Clause | Physician Assistant | 132 Abigail Ln, Port Matilda, PA 16870 | 2015-08-18 |
| 1306125190 | Hithem Rahmi | Orthopaedic Surgery | 132 Abigail Lane, Port Matilda, PA 16870 | 2011-08-10 |
| Find all providers in zip 16870 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376934364 | Molly Margaret Herring | Student in an Organized Health Care Education/Training Program | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2015-02-11 |
| 1376830612 | Katelyn Gray Smith | Student in an Organized Health Care Education/Training Program | 132 Abigail Ln, Port Matilda, PA 16870-7153 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1356942825 | Aisha Ghauri | Student in an Organized Health Care Education/Training Program | 645 Springhouse Ln, Hummelstown, PA 17036-7009 | 2020-11-02 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1093313157 | Betty M Beimel | Student in an Organized Health Care Education/Training Program | 5966 Route 66, Kane, PA 16735-3434 | 2020-10-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1992310049 | Rachana Amin | Student in an Organized Health Care Education/Training Program | 12 Fitzgerald Dr, Moosic, PA 18507-2105 | 2020-09-14 |
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT MATILDA |
| Zip Code | 16870 |
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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.