DR. MICHAEL MATTHEW JACOBS (NPI# 1164419578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164419578 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MATTHEW JACOBS |
| Credential | M.D., M.P.H. |
| Practice Address |
340 Hulse Road Naval Aerospace Medical Institute (nami) Pensacola FL 32508 |
| Mailing Address |
790 Veterans Way Naval Aerospace Medical Institute (nami) Pensacola FL 32507-1000 |
| Practice Telephone | 8504523054 |
| Practice Fax Number | 8504525754 |
| Mailing Telephone | 8509122000 |
| Mailing Fax Number | 8509122447 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2016-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
G69425 | CA | Allopathic & Osteopathic Physicians |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
42141-20 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
120760 | FL | Allopathic & Osteopathic Physicians |
| 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 |
340 HULSE ROAD NAVAL AEROSPACE MEDICAL INSTITUTE (NAMI) |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144386707 | Georgia Ann Gray Stoker | Obstetrics & Gynecology | 340 Hulse Road, Bldg 3933, Pensacola, FL 32508-1089 | 2006-12-28 |
| 1144253428 | Royce Ellen Clifford | Otolaryngology | 340 Hulse Road, C/o Naval Aerospace Medicine Institute, Pensacola, FL 32508-1092 | 2006-07-09 |
| 1528048048 | Michael Bernard Mcginnis | Internal Medicine | 340 Hulse Road, Code 33, Pensacola, FL 32508-1092 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851598510 | Matthew Henry Hoefer | Preventive Medicine | Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 | 2007-06-27 |
| 1891917035 | Lillie Olivia Johnson | Social Worker | Fleet and Family Support Center Building 625 Nas, 151 Ellyson Ave, Pensacola, FL 32508 | 2007-05-03 |
| 1033272372 | Andrew P Doan | Ophthalmology | Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 | 2006-12-18 |
| 1689601361 | Bruce Allan Waterman | Emergency Medicine | Nmotc, 220 Hovey Rd, Pensacola, FL 32508 | 2006-06-27 |
| 1346203601 | Richard Alan Beane | Preventive Medicine | 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 | 2006-04-08 |
| 1629040837 | Juan C. Dapena | Family Medicine | 220 Hovey Rd Bldg 488, Pensacola, FL 32508 | 2006-02-02 |
| 1417935586 | Kimberly Kay Gullickson | Audiologist | 450 Turner Street, Branch Health Clinic Naval Air Station, Pensacola, FL 32508 | 2006-01-09 |
| 1679917033 | Lawrence Coronel Jimenez | Military Health Care Provider | 760 East Ave Bldg 3911, Pensacola, FL 32508 | 2013-04-28 |
| 1215276191 | Hoyt Harris Reynolds | General Practice | 450 Turner St, Naval Air Station Pensacola Branch Health Clinic, Pensacola, FL 32508 | 2013-02-12 |
| 1194038745 | Amanda Alayne Fix | Dentist | 450 Turner Street, Nbhc Nas Pensacola, Pensacola, FL 32508 | 2010-07-23 |
| Find all providers in zip 32508 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467762484 | Robert Bondurant Md Pa | Internal Medicine | 10095 Hillview Rd, Pensacola, FL 32514-5428 | 2010-10-08 |
| 1023046976 | Robert E Bondurant | Internal Medicine | 10095 Hillview Dr, Pensacola, FL 32514-5428 | 2006-06-29 |
| 1154612380 | Donna Jacobi Pruett | Internal Medicine | 9999 Chemstrand Rd, Pensacola, FL 32514-2724 | 2011-04-21 |
| 1194021147 | George M Knefely Md Pa | Internal Medicine | 14 W Jordan St, Suite A, Pensacola, FL 32501-1736 | 2011-02-08 |
| 1376590984 | Clay Leon Molstad | Internal Medicine | 312 Kenmore Rd, Pensacola, FL 32503-7462 | 2006-05-28 |
| 1750366779 | Andrea Joyce Hackel | Internal Medicine | 2120 E Johnson Ave, West Florida Internal Medicine, LLC, Pensacola, FL 32514-6028 | 2005-12-13 |
| 1386629301 | Carol Rene Preud'homme | Internal Medicine | 8333 N Davis Hwy, Pensacola, FL 32514-6050 | 2005-12-13 |
| 1801871835 | Andy Somesan | Internal Medicine | 1000 W Moreno St, Pensacola, FL 32501 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
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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.