DR. JACOB EBY (NPI# 1295112159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295112159 |
| Entity Type | Individual |
| Full Name | DR. JACOB EBY |
| Credential | M.D. |
| Practice Address |
673 Mdg 5955 Zeamer Ave Jber AK 99506 |
| Practice Telephone | 9075803205 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD463351 | PA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Childrens Plz, Dayton, OH 454041873 | 9376413433 | 9376415931 |
| Street Address |
673 MDG 5955 ZEAMER AVE |
| City | JBER |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| 1912272568 | Michael Scot Cooper | Emergency Medical Technician, Paramedic | 6973 Zuckert Avenue, 176th Medical Group, Elmendorf/anchorage, AK 99506 | 2012-03-15 |
| Find all providers in zip 99506 | ||||
| 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 |
|---|---|---|---|---|
| 1164719423 | Scott Edward Stewart | Pediatrics | 673rd Mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2011-07-06 |
| 1275912446 | Lindsay Huckabee | Pediatrics | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2015-05-21 |
| 1639563646 | Sarah Donigian | Pediatrics | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2015-03-27 |
| 1649663733 | Brett James Ostrander | Pediatrics | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2015-03-12 |
| 1477976082 | Charles Luckey Dunn | Pediatrics | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2014-02-03 |
| 1790126035 | Bradley Dayton | Pediatrics | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2013-07-15 |
| 1780976050 | Jaisal Kumar Pragani | Pediatrics | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2011-05-05 |
| 1376773457 | Charles Quentin Pace | Pediatrics | 5955 Zeamer Ave., 673d Mdg, Jber, AK 99506 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629543046 | Pacific Pediatrics, LLC | Pediatrics | 63 Higgins Spur, Ketchikan, AK 99901-9442 | 2018-10-11 |
| 1780195727 | Amanda Kathleen Dunlap | Pediatrics | 3340 Providence Dr Ste A-452, Anchorage, AK 99508-4691 | 2017-10-17 |
| 1841663945 | Jennifer Elisabeth Austin | Pediatrics | 751 E 36th Ave Ste 100, Anchorage, AK 99503 | 2015-11-11 |
| 1821409137 | Denise Frohlich Jones | Pediatrics | Alaska Neonatology Assoc, 3340 Providence Dr. Suite 366, Anchorage, AK 99508 | 2014-05-08 |
| 1780003376 | Carolyn Roloff | Pediatrics | 3200 Providence Dr Fl 3, Anchorage, AK 99508 | 2014-04-10 |
| 1154755056 | Begich School Based Health Center | Pediatrics | 7440 Creekside Center Dr, Anchorage, AK 99504-5234 | 2013-08-27 |
| 1710262175 | Anchorage School Based Health Centers | Pediatrics | 150 Bragaw St, Anchorage, AK 99508-1307 | 2011-10-18 |
| 1003142621 | Mat-su Community Pediatrics, P.C. | Pediatrics | 3750 E. Country Field Circle, Suite C, Wasilla, AK 99654 | 2009-11-02 |
| 1992936413 | J Robert Lovrich | Pediatrics | 10840 Vosikof Pl, Anchorage, AK 99507-6461 | 2009-07-31 |
| 1841429420 | Christina Diller | Pediatrics | 3260 Providence Dr Ste 532, Anchorage, AK 99508 | 2009-07-05 |
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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.