SODARAN P JACOB (NPI# 1376568717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376568717 |
| Entity Type | Individual |
| Full Name | SODARAN P JACOB |
| Credential | MD |
| Practice Address |
801 W Maple St Farmington NM 87401-5630 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096463 |
| Practice Fax Number | 5056096474 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2006-0732 | NM | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | MD2006-0732 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 93733577 | 05 |
| Street Address |
801 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058510 | San Juan Regional Medical Center, Inc. | Ambulance | 801 W Maple St, Farmington, NM 87401-5630 | 2005-07-29 |
| 1962038729 | Alexia Hay | Physical Therapist | 801 W Maple St, Farmington, NM 87401-5630 | 2020-03-12 |
| 1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
| 1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
| 1083258768 | Stacey Mclendon | Pharmacist | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1730723560 | Anna Victoria Buck | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1083264592 | Clay Church | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-17 |
| 1982253449 | Christine Graves | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-08 |
| 1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
| 1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083129498 | Nicole Lynn Ray | Hospitalist | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2017-12-07 |
| 1942735071 | Silya Mazigh | Hospitalist | 263 Farmington Ave, Farmington, CT 06030-1921 | 2017-04-26 |
| 1508241431 | Ricardo Antonio Rodriguez | Hospitalist | 1101 W Liberty St, Farmington, MO 63640 | 2015-07-21 |
| 1912388695 | Zahra Fatima Hassan | Hospitalist | 1101 W Liberty St, Farmington, MO 63640-1921 | 2015-06-17 |
| 1457748881 | Aadhar Patil | Hospitalist | 263 Farmington Ave, Farmington, CT 06030-8082 | 2015-04-23 |
| 1235548413 | Mohamed Ramadan | Hospitalist | 1101 W Liberty St, Farmington, MO 63640-1921 | 2014-08-12 |
| 1295099406 | Vamsi Krishna Chilluru | Hospitalist | 1101 W Liberty St, Farmington, MO 63640 | 2012-07-02 |
| 1518103571 | Amy Plagge | Hospitalist | 801 W Maple St, Farmington, NM 87401-5630 | 2008-12-22 |
| 1699938282 | San Juan Regional Medical Center Inc | Hospitalist | 801 W Maple St, Farmington, NM 87401-5630 | 2008-07-03 |
| 1225297922 | Vivek Sharma | Hospitalist | 801 W Maple St, Farmington, NM 87401-5630 | 2008-06-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on SODARAN P JACOB.
| 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.