BRIAN S JACOBS (NPI# 1215915111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215915111 |
| Entity Type | Individual |
| Full Name | BRIAN S JACOBS |
| Credential | DO |
| Practice Address |
1020 Thompson St Jersey Shore PA 17740-1729 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5703981991 |
| Practice Fax Number | 5703984607 |
| Mailing Telephone | 5702716144 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS014838 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 47004 | MN | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
OS014838 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102381212 | 05 | |
| MN | 670998200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630668 | Brian Jacobs | Physical Therapist | 601 John St # 44, Kalamazoo, MI 49007-5341 | 2019-07-11 |
| 1437240694 | Brian Anthony Jacobs | Family Medicine | 610 N Michigan Street, Suite 308, South Bend, IN 46601 | 2006-09-27 |
| 1932202330 | Brian Coate Jacobs | Radiology | 1400 116th Ave Ne, Bellevue, WA 98004 | 2006-09-07 |
| 1497779425 | Brian Paul Jacobs | Social Worker | 339 S Main St, Sebastopol, CA 95472-4208 | 2006-07-26 |
| 1194378935 | Brian Daniel Jacobs | Counselor | 1655 Fort Myer Dr Ste 820, Arlington, VA 22209-3106 | 2019-07-22 |
| 1871995373 | Brian Jacobs | Nurse Anesthetist, Certified Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-09-16 |
| 1184906125 | Brian Jacobs | Rehabilitation Practitioner | 3200 Motor Ave, Los Angeles, CA 90034-3710 | 2011-09-15 |
| 1669771341 | Brian Thomas Jacobs | Pharmacist | 4515 E Mount Morris Rd, Mount Morris, MI 48458-8737 | 2011-03-21 |
| 1316262215 | Brian P Jacobs | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2010-04-02 |
| 1588741060 | Brian Scott Jacobs | Internal Medicine | 9840 Westpoint Dr, Suite 400, Indianapolis, IN 46256-3360 | 2006-11-01 |
| Street Address |
1020 THOMPSON ST |
| City | JERSEY SHORE |
| State | PA |
| Zip Code | 17740-1729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186065 | Peter Michael Listro | Anesthesiology | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2005-07-01 |
| 1801401070 | Maayan Dagan | Physical Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-09-14 |
| 1437764644 | Ashley Kay Craig | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-09-14 |
| 1447878871 | Lia Ruggerio | Speech-Language Pathologist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-07-13 |
| 1700403896 | Lori Ann Davis | Physician Assistant | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2020-07-06 |
| 1306496823 | Kelly Mccloud | Occupational Therapist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2019-09-17 |
| 1427605138 | Rebecca Louise Hargrove | Dietitian, Registered | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2019-08-19 |
| 1568934891 | Ellie Louise Sikorskas | Physical Therapy Assistant | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-12-27 |
| 1396210985 | Jaylan Jones | Physician Assistant | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-10-10 |
| 1568948941 | Jill Yusinski | Speech-Language Pathologist | 1020 Thompson St, Jersey Shore, PA 17740-1729 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851680284 | E. Milton Witthoff Jr. | General Practice | 1563 Torbert Ln, Jersey Shore, PA 17740 | 2011-04-06 |
| 1932323326 | Candace B Kanzler | Occupational Therapy Assistant | 1032 Pine Drive, Jersey Shore, PA 17740 | 2007-04-13 |
| 1376687434 | Jacqueline Elaine George | Specialist/Technologist | 701 Cemetery Street, Jersey Shore, PA 17740 | 2007-02-20 |
| 1508917634 | Christopher Todd Witmer | Chiropractor | 1324 Allegheny Street, Jersey Shore, PA 17740 | 2007-01-16 |
| 1174130843 | Amanda Lee Cagle | Pharmacist | 1321 Allegheny St, Jersey Shore, PA 17740 | 2020-09-28 |
| 1205945870 | Nathan James Carpenter | Chiropractor | 135 N Main St, Jersey Shore, PA 17740 | 2006-08-29 |
| 1104989359 | John Paul Grove | Dentist | 812 Allegheny Street, Jersey Shore, PA 17740-0508 | 2006-12-19 |
| 1790769362 | Barry Michael Wrench | Physical Therapist | 320 Thomas St, Jersey Shore, PA 17740-1049 | 2005-12-06 |
| 1174038384 | James Frederick Leighty Jr. | Physical Therapist | 320 Thomas St, Jersey Shore, PA 17740-1049 | 2017-12-11 |
| 1194272997 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 320 Thomas St, Jersey Shore, PA 17740-1049 | 2016-09-09 |
| Find all providers in zip 17740 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323517 | Einstein Practice Plan Inc | Orthopaedic Surgery | 5501 Old York Rd Bldg Fl4, Philadelphia, PA 19141-3018 | 2019-12-11 |
| 1700381076 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 48 Tunnel Rd Ste 203, Pottsville, PA 17901-3885 | 2018-03-28 |
| 1376058735 | Sports Medicine & Joint Replacement Specialists Corporation | Orthopaedic Surgery | 542 Rugh St Ste 2000, Greensburg, PA 15601-5623 | 2017-12-07 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1992125413 | Arjun Ramprasad | Orthopaedic Surgery | 380 Oxford Valley Rd Fl 1, Langhorne, PA 19047-8304 | 2014-04-23 |
| 1396171377 | Upmc Community Medicine Inc | Orthopaedic Surgery | 510 S Aiken Ave, Suite Eg-01, Pittsburgh, PA 15232-1505 | 2013-09-23 |
| 1871932467 | Justin W Arner | Orthopaedic Surgery | 200 Delafield Rd Ste 410, Pittsburgh, PA 15215-3205 | 2013-06-18 |
| 1548580483 | Reflex Orthopedics and Sports Medicine, PC | Orthopaedic Surgery | 463 Brush Run Road, Suite 200, Greensburg, PA 15601 | 2010-06-02 |
| 1427211069 | Scott Kevin Schweizer | Orthopaedic Surgery | 160 Gallery Dr Ste 144, Canonsburg, PA 15317-2690 | 2008-07-03 |
| 1235356379 | Robert August Gallo | Orthopaedic Surgery | 30 Hope Dr Bldg A, Bone and Joint Institute, Ec089, Hershey, PA 17033-2036 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY SHORE |
| Zip Code | 17740 |
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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.