MARK JACOB (NPI# 1306126032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306126032 |
| Entity Type | Individual |
| Full Name | MARK JACOB |
| Credential | FNP |
| Practice Address |
13737 Noel Rd Suite 1200 Dallas TX 75240-1331 |
| Mailing Address |
13737 Noel Rd Suite 1200 Dallas TX 75240 |
| Practice Telephone | 2147122000 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130611 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275659955 | Mark William Jacob | Dentist | 4119 Dundee Rd, Northbrook, IL 60062-2129 | 2007-03-22 |
| 1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
| 1063688497 | Mark Kevin Jacob | Internal Medicine | 300 E Warwick Dr, Alma, MI 48801-1014 | 2008-05-06 |
| 1952524399 | Mark Alan Jacob | Internal Medicine | 4330 Medical Dr Ste 500, San Antonio, TX 78229-3318 | 2007-04-11 |
| 1659486751 | Mark B Jacob | Oral & Maxillofacial Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-08-20 |
| Street Address |
13737 NOEL RD SUITE 1200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75240-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571418 | Ben Arizola | Nurse Anesthetist, Certified Registered | 13737 Noel Rd, 1400, Dallas, TX 75240-1331 | 2005-07-13 |
| 1386194868 | Dhvani Derasari | Student in an Organized Health Care Education/Training Program | 13737 Noel Rd, #1200, Dallas, TX 75240 | 2016-10-10 |
| 1568919256 | Patra Dear Rungruangphol | Student in an Organized Health Care Education/Training Program | 13737 Noel Rd, Suite 1400, Dallas, TX 75240-1331 | 2016-09-09 |
| 1356790323 | Carlissa Wells | Physician Assistant | 13737 Noel Rd, Dallas, TX 75240-1331 | 2016-06-09 |
| 1407204183 | Carol Waddy | Licensed Vocational Nurse | 13737 Noel Rd, Dallas, TX 75240-1331 | 2016-06-02 |
| 1245687474 | Jason Trevino | Licensed Vocational Nurse | 13737 Noel Rd, Suite 1400, Dallas, TX 75240-1331 | 2016-05-18 |
| 1891142022 | Arlisa Cameron | Licensed Vocational Nurse | 13737 Noel Rd, Suite 1400, Dallas, TX 75240-1331 | 2016-05-18 |
| 1447607973 | Viena Limon | Licensed Vocational Nurse | 13737 Noel Rd, Dallas, TX 75240-1331 | 2016-05-13 |
| 1255791323 | Mai Kim Thi Nguyen | Physician Assistant | 13737 Noel Rd, Suite 1200, Dallas, TX 75240 | 2016-03-02 |
| 1184082422 | Questcare Medical Services Pllc | Physician Assistant | 13737 Noel Rd, #1600, Dallas, TX 75240-1331 | 2016-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469824 | Amber Christine Wrye | Counselor | 5433 Alpha Rd, Dallas, TX 75240 | 2019-10-25 |
| 1134610934 | Kristen Cairns | Counselor | 13140 Coit Rd # 328, Dallas, TX 75240 | 2018-05-29 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1689119307 | Ginger Lee Hagood | Counselor | 5580 Lbj Freeway, Suite 300, Dallas, TX 75240 | 2017-01-04 |
| 1831565712 | Stella I Clark | Nurse's Aide | 7373 Valley View Ln #2065, Dallas, TX 75240 | 2015-08-14 |
| 1790163608 | Shana Lynn Gangi | Social Worker | 13601 Preston Rd Ste W970, Dallas, TX 75240 | 2015-05-12 |
| 1134527096 | Jahvel Thompson | Physician Assistant | 8112 W. Spring Valley Rd., Dallas, TX 75240 | 2014-12-09 |
| 1295137396 | Rineil Francis Perez | Pharmacist | 13131 Monfort Dr, Dallas, TX 75240 | 2014-09-19 |
| 1255731311 | Arturo Ojeda | Counselor | 13140 Coit Rd Ste 326, Dallas, TX 75240 | 2014-08-26 |
| Find all providers in zip 75240 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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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.