SALIL G JACOB (NPI# 1245256163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245256163 |
| Entity Type | Individual |
| Full Name | SALIL G JACOB |
| Credential | MD |
| Practice Address |
1907 Tyrone Blvd N St Petersburg FL 33710-4841 |
| Practice Telephone | 7273172117 |
| Practice Fax Number | 7273172104 |
| Mailing Telephone | 7273172117 |
| Mailing Fax Number | 7273172104 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME84815 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264069400 | 05 |
| Street Address |
1907 TYRONE BLVD N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33710-4841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071165 | All4kidz Pediatrics, LLC | Pediatrics | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2020-07-29 |
| 1114483542 | Nicholas Hunter Ledbetter | Behavior Technician | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2019-02-11 |
| 1821572728 | Savanna-marie Palmer | Behavior Technician | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2018-09-18 |
| 1932615291 | Molly Newland | Behavior Technician | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2017-12-22 |
| 1609222074 | Michelle Huff | Behavioral Analyst | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2016-05-04 |
| 1366816464 | Skyway Behavior Center | Behavioral Analyst | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2015-11-30 |
| 1114296308 | Kendra M Anderson | Massage Therapist | 1907 Tyrone Blvd N, St Petersburg, FL 33710-4841 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1821566845 | Harish J. Patel, Md | Non-Pharmacy Dispensing Site | 6449 38th Avenue North, Suite B3, Saint Petersburg, FL 33710 | 2018-11-07 |
| 1659860708 | Lydia M Gomez | Physical Therapist | 6775 Crosswinds Dr. N, Saint Petersburg, FL 33710 | 2018-05-04 |
| 1619498169 | Tiffiny C Rudkin | Massage Therapist | 3039 - 49th St. N., St. Petersburg, FL 33710 | 2017-07-05 |
| 1114456480 | Roberto Macedo Dentistry LLC | Dentist | 7801 38th Ave North, St. Petersburg, FL 33710 | 2017-06-08 |
| 1528429495 | Frank Michael Massotto Jr. | Nurse Practitioner | 3251 66th St. North, St Petersburg, FL 33710 | 2016-03-18 |
| 1235522889 | Toby Weinman Assisted Living Residence | Assisted Living Facility | 240 59th St N, St Petersburg, FL 33710 | 2015-03-06 |
| 1821415951 | Ryan Troup | Physician Assistant | 603 - 7th St. S, Suite 360, Emergency Physicians of Saint Petersburg, Saint Petersburg, FL 33710 | 2014-03-26 |
| 1629491600 | Garett Janes Sears | Psychologist | 1913 Tyrone Blvd, St. Petersburg, FL 33710 | 2014-01-28 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| Find all providers in zip 33710 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104209758 | Jan S Bender Md, Pllc | Pediatrics | 6449 38th Ave N Ste G4, St Petersburg, FL 33710-1643 | 2015-07-01 |
| 1679821219 | Valerie Ann Cruz Flores | Pediatrics | 501 6th Ave S Ste 3100, St Petersburg, FL 33701-4634 | 2012-08-29 |
| 1932419074 | Elinor Miranda | Pediatrics | 3551 42nd Ave S, Ste 101, St Petersburg, FL 33711-4369 | 2010-10-07 |
| 1245465186 | Rhiannon Hickok | Pediatrics | 601 5th St S Ste 501, St Petersburg, FL 33701-4804 | 2009-05-21 |
| 1346495181 | Jorge Santiago Vidal | Pediatrics | 2096 Iowa Ave Ne, St Petersburg, FL 33703-3428 | 2008-11-20 |
| 1881854693 | Thien Trang Thi Tran | Pediatrics | 2701 54th Ave S, St Petersburg, FL 33712-4776 | 2008-06-15 |
| 1396919510 | Susan Darlyne Dibs | Pediatrics | 501 6th Ave S Dept, St Petersburg, FL 33701-4634 | 2008-04-18 |
| 1316152713 | Stephen G. Nelson, M.d., Pa | Pediatrics | 5601 Dr Martin Luther King Jr St N, St Petersburg, FL 33703-1205 | 2007-05-11 |
| 1649482001 | Boyd J Mullholand | Pediatrics | 2243 Mermaid Pt Ne, St Petersburg, FL 33703-3441 | 2007-05-05 |
| 1720101397 | Elizabeth Marie Brennan | Pediatrics | 601 5th St S Dept 6941, St Petersburg, FL 33701 | 2007-04-09 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33710 |
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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.