DR. JOSEPH RICHARD JACOB (NPI# 1134446891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134446891 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH RICHARD JACOB |
| Credential | M.D. |
| Practice Address |
1490 E Foremaster Dr Ste 350 Saint George UT 84790-4488 |
| Practice Telephone | 4356283337 |
| Practice Fax Number | 4356283375 |
| Mailing Telephone | 4356283337 |
| Mailing Fax Number | 4356283375 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2015-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 8138585-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | UT | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891709846 | Joseph Edward Jacob | Dentist | 3157 Harrison Ave, Cincinnati, OH 45211-5642 | 2006-07-27 |
| 1740892850 | Joseph Jacob | Pharmacist | 93 Us Highway 27 S, Avon Park, FL 33825-3334 | 2020-08-19 |
| 1912469495 | Joseph John Jacob | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-04-03 |
| 1336626134 | Joseph George Jacob | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2018-07-24 |
| 1063916344 | Joseph Jijo Jacob | Physical Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-03-21 |
| 1235440090 | Joseph M Jacob | Urology | 750 E Adams St, Syracuse, NY 13210-2306 | 2010-06-27 |
| 1033309893 | Joseph S Jacob | Dentist | 23 W Prospect St, East Brunswick, NJ 08816-2116 | 2007-07-27 |
| 1568416493 | Joseph P Jacob | Physical Medicine & Rehabilitation | 2695 Rocky Mountain Ave, Suite 200, Loveland, CO 80538-8702 | 2006-05-22 |
| 1720030349 | Joseph Jacob | Obstetrics & Gynecology | 150 S Mount Auburn Rd, Ste 344, Cape Girardeau, MO 63703-4910 | 2006-05-16 |
| Street Address |
1490 E FOREMASTER DR STE 350 |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790-4488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679021067 | Nicholas Earl Stucki | Nurse Practitioner | 1490 E Foremaster Dr, Ste 220, Saint George, UT 84790-4488 | 2016-09-14 |
| 1992196646 | Red Cliffs Healthcare, Inc. | Skilled Nursing Facility | 1490 E Foremaster Dr, Saint George, UT 84790-4488 | 2015-02-16 |
| 1306236690 | Utah Neurosurgery PC | Neurological Surgery | 1490 E Foremaster Dr, Ste 260, Saint George, UT 84790-4488 | 2015-01-26 |
| 1598175523 | Utah Surgical Associates | Surgery | 1490 E Foremaster Dr, Suite 200, Saint George, UT 84790-4488 | 2014-04-29 |
| 1427306190 | Michael T Watts | Physician Assistant | 1490 E Foremaster Dr, Ste 320, Saint George, UT 84790-4488 | 2012-08-28 |
| 1609103464 | Ryan Kent Workman | Anesthesiology | 1490 E Foremaster Dr, Ste 220, Saint George, UT 84790-4488 | 2009-11-15 |
| 1649452400 | Matthew Ronald Hess | Speech-Language Pathologist | 1490 E Foremaster Dr, Saint George, UT 84790-4488 | 2007-12-03 |
| 1275624587 | Coral Desert Imaging | Clinic/Center | 1490 E Foremaster Dr, Building C, Saint George, UT 84790-4488 | 2006-09-28 |
| 1831108042 | Steven P Chase | Otolaryngology | 1490 E Foremaster Dr, Suite 350, Saint George, UT 84790-4488 | 2006-08-05 |
| 1932113743 | Gregory S Taylor | Urology | 1490 E Foremaster Dr, 300, Saint George, UT 84790-4488 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831108042 | Steven P Chase | Otolaryngology | 1490 E Foremaster Dr, Suite 350, Saint George, UT 84790-4488 | 2006-08-05 |
| 1245298959 | George Paul Doxey | Otolaryngology | 736 S 900 E, Ste 201, Saint George, UT 84790-7000 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073177796 | Christopher A. Hamilton | Otolaryngology | 50 North Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2019-04-29 |
| 1972007433 | Eric Edward Babajanian | Otolaryngology | 50 N Medical Dr Som 3c120, Salt Lake City, UT 84132-0001 | 2018-03-20 |
| 1619362779 | Joshua Brian Bradshaw | Otolaryngology | 1551 Renaissance Towne Dr Ste 310, Bountiful, UT 84010-7671 | 2015-04-05 |
| 1548695729 | Derrick Cripps Gale | Otolaryngology | 4063 W 12600 S, Riverton, UT 84096-7302 | 2013-09-06 |
| 1063853885 | Craig N Stevens, Md | Otolaryngology | 2576 E Valley View Ave, Holladay, UT 84117-5429 | 2013-07-09 |
| 1801233994 | Tolbin Matthew Collett | Otolaryngology | 201 W Layton Pkwy, Layton, UT 84041 | 2013-05-29 |
| 1700143906 | Daniel Robert Cox | Otolaryngology | 5169 S Cottonwood St Ste 310, Murray, UT 84107 | 2012-04-12 |
| 1447551544 | James L. Parkin | Otolaryngology | 2390 Bernadine Dr, Salt Lake City, UT 84109-1206 | 2010-11-05 |
| 1447584636 | Ryan D. Lewis | Otolaryngology | 11506 S State St, Draper, UT 84020-9453 | 2009-09-22 |
| 1710210323 | Kendrick Oliver Morrison | Otolaryngology | 1599 Quartz Dr, South Jordan, UT 84095-8382 | 2009-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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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.