JOHN R JACOBS (NPI# 1174671804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174671804 |
| Entity Type | Individual |
| Full Name | JOHN R JACOBS |
| Credential | MD |
| Practice Address |
1600 Candia Rd Manchester NH 03109-5512 |
| Practice Telephone | 6036275539 |
| Practice Fax Number | 6036275539 |
| Mailing Telephone | 6036275539 |
| Mailing Fax Number | 6036275539 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
8558 | NH | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
8558 | NH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366801441 | John Jacobs II | Chiropractor | 607a N Military St, Loretto, TN 38469-2341 | 2016-02-17 |
| 1497184378 | John Jacobs IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2013-11-01 |
| 1750483517 | John William Jacobs | Psychiatry & Neurology | 180 East 79th Street, 1d, New York, NY 10021 | 2006-09-02 |
| 1588676050 | John Yaghoubieh Jacobs | Optometrist | 5657 Wilshire Blvd, 130, Los Angeles, CA 90036-3736 | 2006-08-13 |
| 1619910825 | John Mccormick Jacobs | Social Worker | 76 Jimmy Leeds Road, Suite 202, Galloway, NJ 08205 | 2006-06-14 |
| 1568454163 | John P Jacobs | Radiology | 1401 Chester Blvd, Richmond, IN 47374-1908 | 2005-08-19 |
| 1336147115 | John Timothy Jacobs | Pharmacist | 2701 Austin Ave, Brownwood, TX 76801-5834 | 2005-07-14 |
| 1972160059 | John Patrick Jacobs | Specialist | 1201 Broad Rock Blvd, Richmond, VA 23249-4915 | 2019-05-23 |
| 1336679430 | John Christopher Jacobs Jr. | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2017-06-13 |
| 1427205996 | John A Jacobs | Dietitian, Registered | 100 John Roemmelt Dr, Suite 202, Horseheads, NY 14845-8301 | 2008-08-26 |
| Street Address |
1600 CANDIA RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275960452 | Valerie Amador | Physical Therapy Assistant | 195 Sibley Terrace, Manchester, NH 03109 | 2013-10-02 |
| 1104894708 | Mahendra Singh Panesar | Pediatrics | Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-03-09 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1487644829 | Donald E. Salvatore | Pediatrics | 275 Mammoth Road, Suite 2, Manchester, NH 03109 | 2005-10-26 |
| 1831191659 | Elliot Physicians Network | Internal Medicine | 1070 Holt Avenue, Unit 1 Suite 2200, Manchester, NH 03109 | 2005-08-11 |
| 1457862195 | Julianne Jefferson | Nurse Practitioner | 271 Mammoth Rd, Manchester, NH 03109 | 2017-10-20 |
| 1154708964 | Jared Dunahay | Pediatrics | 275 Mammoth Rd Ste 2, Manchester, NH 03109 | 2015-04-30 |
| 1326474750 | Jason Michael Albrecht | Internal Medicine | 275 Mammoth Rd Ste 4, Manchester, NH 03109 | 2013-09-17 |
| 1316379266 | Johnson Orthodontics, Pllc | Dentist | 113 Mammoth Rd, Suite 1, Manchester, NH 03109 | 2013-08-02 |
| 1093941924 | Muhammad Muddasir Qureshi | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Manchester, NH 03109 | 2009-06-05 |
| Find all providers in zip 03109 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336587179 | William Levitt | Psychiatry & Neurology | 718 Smyth Rd, Manchester, NH 03104 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902244957 | Corneliu Natanael Stanciu | Psychiatry & Neurology | 1 Medical Dr Dept Of, Lebanon, NH 03756-1000 | 2013-06-12 |
| 1790950772 | Michael S. Shairs | Psychiatry & Neurology | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2008-04-29 |
| City | MANCHESTER |
| Zip Code | 03109 |
Please comment or provide details below to improve the information on JOHN R JACOBS.
| 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.