DR. JACOB T JOSEPH


Address: 10721 Main St, Suite 1100, Fairfax, VA 22030-6914
Phone: 7032734762

DR. JACOB T JOSEPH (NPI# 1346332939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346332939
Entity Type Individual
Full Name DR. JACOB T JOSEPH
Credential M.D.
Practice Address 10721 Main St
Suite 1100
Fairfax
VA 22030-6914
Practice Telephone 7032734762
Practice Fax Number 7035917719
Mailing Telephone 7032734762
Mailing Fax Number 7035917719
Enumeration Date 2006-09-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
0101034461 VA Allopathic & Osteopathic Physicians

Other Providers JACOB JOSEPH

NPI Name Taxonomy Address Enumeration
1285104588 Jacob Parathodathil Joseph Nurse Practitioner Stony Brook Medical Center Health Science Center T 16, Stony Brook, NY 11794-0001 2018-11-29
1679044689 Jacob D Joseph Social Worker 799 S Main St, Lima, OH 45804-1519 2018-12-17
1154826352 Jacob Joseph Student in an Organized Health Care Education/Training Program 1000 E Dove Ave, Mcallen, TX 78504-3974 2018-03-28
1578098224 Jacob Joseph Peer Specialist 934 S Main St, Layton, UT 84041-7135 2017-05-01
1841551090 Jacob Rahul Rajiv Joseph Neurological Surgery 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 2012-06-05
1811094261 Jacob Joseph Internal Medicine 1400 Vfw Parkway, Cardiology Section (111), Vabhs, West Roxbury, MA 02132 2006-09-20
1750497525 Jacob Joseph Orthopaedic Surgery 2820 Manatee Ave W, Bradenton, FL 34205-4237 2006-08-22
1053330175 Jacob K Joseph Internal Medicine 6801 Rogers Ave, Fort Smith, AR 72903-4067 2006-07-19

Office Location

Street Address 10721 MAIN ST
SUITE 1100
City FAIRFAX
State VA
Zip Code 22030-6914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641959 Raymond James Olkin Podiatrist 10721 Main St, Ste 103, Fairfax Medical Center, Fairfax, VA 22030-6914 2005-06-28
1003363003 Jsa Homecare Home Health 10721 Main St, Suite 304, Fairfax, VA 22030-6914 2016-09-07
1609321611 Complete Dermatology of Virginia, Inc. Specialist 10721 Main St, Suite 3100, Fairfax, VA 22030-6914 2016-08-19
1841686953 Better Life Inc. Chiropractor 10721 Main St, 307, Fairfax, VA 22030-6914 2015-04-15
1053718924 Family Pharmacy, Inc Pharmacy 10721 Main St, 107, Fairfax, VA 22030-6914 2014-11-20
1033511324 Mind Matters Psychiatry, LLC Clinic/Center 10721 Main St, Suite 2450, Fairfax, VA 22030-6914 2014-09-18
1093159717 Maple Chiropractic & Acupuncture Clinic, LLC Chiropractor 10721 Main St, Suite # 2500, Fairfax, VA 22030-6914 2013-04-24
1730465212 William Linwood Outten IIi Dentist 10721 Main St, Suite 203, Fairfax, VA 22030-6902 2011-10-27
1679855183 Julie Elwell Social Worker 10721 Main St, Ste. 2350, Fairfax, VA 22030-6914 2011-09-12
1063792448 Hyun Kyn Choi Acupuncturist 10721 Main St, G7, Fairfax, VA 22030-6914 2011-08-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508153602 Kerry R. Lewis M.d. Ltd. Family Medicine 10560 Main St, Suite 210, Fairfax, VA 22030-7182 2011-07-09
1457472391 Jacob T Joseph Md PC Family Medicine 10721 Main St, Suite 1100, Fairfax, VA 22030-6914 2007-04-02
1851442008 Jayasree Patla Family Medicine 10100 Fairfax Blvd, Fairfax, VA 22030-2000 2007-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619583283 Michelle Lynn Pope Family Medicine 731 Seaton Ave Unit 120, Alexandria, VA 22305-3052 2020-09-19
1821604885 Lindsay J Callahan Family Medicine 13900 Buck Rub Dr, Midlothian, VA 23112-6111 2020-09-16
1376199273 Senle Care Family Medicine 6628 E Wakefield Dr Apt B1, Alexandria, VA 22307 2019-08-15
1861860231 Ram Singh Family Medicine 5637 Powell Valley Rd, Big Stone Gap, VA 24219-4127 2015-09-02
1306257803 Michelle A Clements Family Medicine 5415 Airport Rd, Roanoke, VA 24012-1303 2014-05-19
1538472824 Monroe Glass Baldwin II Family Medicine 2058 Garfield Ave, Lynchburg, VA 24501-6417 2010-07-15
1750618674 Rafael Angel Roure Family Medicine 1304 Glen Burnie Ct, Virginia Beach, VA 23454-6580 2009-11-13
1164676409 Nasrin Ejtemaee Md PC Family Medicine 8375a Greensboro Dr, Mc Lean, VA 22102-3529 2008-11-13
1841459922 Yeneisha Greene Family Medicine 4201 Wilson Boulevard, Arlington, VA 22230 2008-06-04
1801096458 Richard Detwiler Alderfer Family Medicine 137 Nottingham Ln, Waynesboro, VA 22980-6544 2007-07-23
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Competitor

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City FAIRFAX
Zip Code 22030

Improve Information

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Dataset Information

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.

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