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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | BLUE CROSS | 51136288 | 01 |
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 |
Street Address |
3918 MONTCLAIR RD SUITE 105 |
City | MOUNTAIN BRK |
State | AL |
Zip Code | 35213-2425 |
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 |
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 Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
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. |
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 |
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 |
City | MOUNTAIN BRK |
Zip Code | 35213 |
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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.