DR. MICHAEL JACOBY (NPI# 1255652772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255652772 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JACOBY |
| Credential | M.D. |
| Practice Address |
100 Woods Rd Valhalla NY 22033-3309 |
| Mailing Address |
11781 Lee Jackson Memorial Hwy Suite 550 Fairfax VA 22033-3309 |
| Practice Telephone | 9144932844 |
| Practice Fax Number | 7035636256 |
| Mailing Telephone | 5717775102 |
| Mailing Fax Number | 7035636256 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2015-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 279663 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT197673 | PA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04181682 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548553167 | Michael Ivan Jacoby | Pharmacist | 192 Locust Ln, Dalton, PA 18414-9557 | 2011-05-16 |
| 1144579863 | Michael Jacoby | Pharmacist | 353 Us Highway 202/206, Bridgewater, NJ 08807-2442 | 2012-09-10 |
| 1346354198 | Michael R.k. Jacoby | Psychiatry & Neurology | 1111 6th Ave, East Tower Suite A100, Des Moines, IA 50314-2613 | 2006-08-18 |
| 1811911993 | Michael R Jacoby | Surgery | 403 W Highland Blvd, Inverness, FL 34452-4717 | 2006-07-26 |
| 1538115803 | Michael Jacoby | Radiology | 555 Linn St, Allegan, MI 49010-1524 | 2006-05-26 |
| Street Address |
100 WOODS RD |
| City | VALHALLA |
| State | NY |
| Zip Code | 22033-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436802 | Nagwa S. Saleh | Radiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2005-06-10 |
| 1639779663 | Trevor Anthony Chen Jr. | Pharmacy Technician | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-28 |
| 1316544620 | Hansol Lee | Physician Assistant | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-10-08 |
| 1205445558 | Rizwan Amin | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
| 1639788821 | Ailan Zhang | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-23 |
| 1578171302 | Yarden Bornovski | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-07-17 |
| 1780201517 | Anita Boonyoo | Nurse Practitioner | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-27 |
| 1972129807 | Lia C Iacuone | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-16 |
| 1578187852 | Miriam Heller | Nurse Anesthetist, Certified Registered | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-06-03 |
| 1710509716 | Jennifer Zappa | Pharmacist | 100 Woods Rd, Valhalla, NY 10595-1530 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
| 1588931661 | Micaella Davis-phinn | Anesthesiology | 253 Munger Pavilion, New York Medical College, Valhalla, NY 10595 | 2011-11-17 |
| 1689970220 | Amanpreet Kaur | Anesthesiology | 100 Woods Rd # Wmc, Pmb# 561, Valhalla, NY 10595-1530 | 2011-01-30 |
| 1134157738 | Cynthia Xenakis | Anesthesiology | 2389 Macy Pavillion, Westchester Medical Center, Valhalla, NY 10595 | 2006-06-30 |
| 1134156797 | Vijay N. Kumar | Anesthesiology | 95 Grasslands Avenue, Macy Pavilion, 2nd Floor, Valhalla, NY 10595 | 2006-06-27 |
| 1124070800 | Valhalla Anesthesia Associates, PC | Anesthesiology | Westchester Medical Center, Macy Pavilion 2nd Fl, 95 Grasslands Rd, Valhalla, NY 10595 | 2006-05-17 |
| 1306297064 | Shinae Namkoong | Anesthesiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2016-06-23 |
| 1912384314 | Joshua Bradley Feldman | Anesthesiology | 100 Woods Rd, Westchester Medical Center, Valhalla, NY 10595-1530 | 2015-05-05 |
| 1972999217 | Alina Genis | Anesthesiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2015-04-14 |
| 1932594009 | Anrew Villion | Anesthesiology | 100 Woods Rd, Valhalla, NY 10595-1530 | 2015-04-05 |
| Find all providers in VALHALLA | ||||
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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.