MICHAEL KEITH JACOBS


Address: 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425
Phone: 2057053550

MICHAEL KEITH JACOBS (NPI# 1134157597) 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) 1134157597
Entity Type Individual
Full Name MICHAEL KEITH JACOBS
Credential MD
Practice Address 3918 Montclair Rd
Suite 105
Mountain Brk
AL 35213-2425
Practice Telephone 2057053550
Practice Fax Number 2057053554
Mailing Telephone 2057053550
Mailing Fax Number 2057053554
Enumeration Date 2006-06-28
Last Update Date 2013-07-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ND0900X Dermatology
Specialization: Dermatopathology
N2577 TX Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
0101245015 VA Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
2588121 NY Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
25MA08863300 NJ Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
21330 MS Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
DR0050087 CO Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
A110841 CA Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
MD31313 SC Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
E6005 AR Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
2008-00217 NC Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
MD.201843 LA Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
ME100342 FL Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
060107 GA Allopathic & Osteopathic Physicians
N 207ND0900X Dermatology
Specialization: Dermatopathology
42796 TN Allopathic & Osteopathic Physicians
Y 207ND0900X Dermatology
Specialization: Dermatopathology
25031 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL BLUE CROSS 51136288 01

Other Providers MICHAEL JACOBS

NPI Name Taxonomy Address Enumeration
1558996694 Michael A Jacobs Psychologist 711 Marys Dr, Brick, NJ 08723-4213 2020-03-10
1144643859 Michael Jacobs Sr. Counselor 351 Atlantic Ave, Massapequa Park, NY 11762-1627 2014-01-31
1225377823 Michael Jacobs Emergency Medicine 416 Doral Dr, Cherry Hill, NJ 08003-3320 2013-02-04
1609135482 Michael Winston Jacobs Pharmacist 1013 Monticello Ln, Lancaster, PA 17601 2012-05-14
1619123726 Michael Joseph Jacobs Registered Nurse 10640 Gateway Blvd N Ste B, El Paso, TX 79924-1700 2008-08-09
1194881920 Michael E Jacobs Internal Medicine 364 State Rd, Vineyard Haven, MA 02568-5624 2006-12-28
1538271325 Michael Thomas Jacobs Chiropractor 2727 Roosevelt St Ste B, Carlsbad, CA 92008-1617 2006-08-31
1821101684 Michael E. Jacobs Optometrist 573 Five Cities Dr, Pismo Beach, CA 93449-3005 2006-08-16
1750398046 Michael Jacobs Dentist 1509 N State Road 7, Suite H, Margate, FL 33063-5731 2006-08-01
1164495693 Michael Scott Jacobs Ophthalmology 1080 Vend Dr, Suite 100, Watkinsville, GA 30677-7751 2006-02-07

Office Location

Street Address 3918 MONTCLAIR RD
SUITE 105
City MOUNTAIN BRK
State AL
Zip Code 35213-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164764528 Dermlab, LLC Pathology 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 2013-03-25
1164646238 Charles Andrew Parrish Dermatology 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 2007-04-12
1568519445 Stephen E. Mason Dermatology 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 2007-01-04
1568527711 Special Formula Prescriptions Inc Pharmacy 3918 Montclair Rd, Ste 203, Mountain Brk, AL 35213-2425 2006-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649771957 Charles Derrick Franklin Optometrist 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 2018-02-22
1508386541 Walker Recovery Center Clinic/Center 2195 North Airport Road, Jasper, AL 35213 2017-06-21
1730579707 Jerome Gaeton Ippolito Internal Medicine 4412 Fredricksburg Drive, Birmingham, AL 35213 2015-01-29
1255686523 John Cocoris Pediatrics 4334 Kennesaw Drive, Birmingham, AL 35213 2012-07-23
1720350424 William Nathan Viar Jr. Surgery 3824 Forest Glen Dr., Birmingham, AL 35213 2012-01-27
1225306129 Thomas Wakefield Mears Surgery 2324 Brookshire Place, Birmingham, AL 35213 2011-12-06
1295980589 Joseph Michael Wright Nurse Anesthetist, Certified Registered 117 Lorena Ln, Birmingham, AL 35213 2008-12-01
1174772529 Ernest Cubbage Wood Pediatrics 4200 Wilderness Rd, Birmingham, AL 35213 2008-09-10
1851549976 Kennedy Rhyne Walker Optometrist 4226 Mountaindale Road, Birmingham, AL 35213 2008-09-03
1982882270 Caroline A Reich Md PC Radiology 3634 Montevallo Road, Birmingham, AL 35213 2008-02-08
Find all providers in zip 35213

Taxonomy Information

Taxonomy Code 207ND0900X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Dermatopathology

Taxonomy Definition

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164646238 Charles Andrew Parrish Dermatology 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 2007-04-12
1568519445 Stephen E. Mason Dermatology 3918 Montclair Rd, Suite 105, Mountain Brk, AL 35213-2425 2007-01-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174502827 Molly B Bouldin Dermatology 521 Montgomery Hwy, Suite 117, Birmingham, AL 35216-1878 2006-01-11
1720088743 Jean P Donahue Dermatology 4330 Highway 78 E, Suite 105, Jasper, AL 35501-8905 2005-08-01
1619213204 Cahaba Dermatology & Skin Health Center, LLC Dermatology 2290 Valleydale Rd, Suite 204, Hoover, AL 35244-2011 2012-12-31
1356508352 Eugen Stancut Dermatology 2100 16th Ave S, Ste 202, Birmingham, AL 35205-5067 2008-05-19
1801072673 R Rex Payne M D P C Dermatology 48 Medical Park Dr E, Suite 458, Birmingham, AL 35235-3400 2008-01-11
1063603249 Ashley Wolchina Allison Dermatology 3125 Independence Dr, Suite 301, Homewood, AL 35209-4159 2007-08-05
1134264872 R Rex Payne Dermatology 48 Medical Park Dr E, Suite 458, Birmingham, AL 35235-3400 2007-02-20

Competitor

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City MOUNTAIN BRK
Zip Code 35213

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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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