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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0101034461 | VA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
10721 MAIN ST SUITE 1100 |
City | FAIRFAX |
State | VA |
Zip Code | 22030-6914 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 22030 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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 |
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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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.