DR. MITCHELL SCOTT JACOBSON (NPI# 1396774931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774931 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL SCOTT JACOBSON |
| Credential | M.D. |
| Practice Address |
6 Essex Center Dr Suite 306 Peabody MA 01960-2910 |
| Practice Telephone | 9785310677 |
| Practice Fax Number | 9785315676 |
| Mailing Telephone | 9785310677 |
| Mailing Fax Number | 9785315676 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
150166 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3178102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346254539 | Mitchell Mayer Jacobson | Internal Medicine | 3107 Stirling Road, #300, Ft. Lauderdale, FL 33312 | 2006-07-27 |
| Street Address |
6 ESSEX CENTER DR SUITE 306 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198217 | Peabody Obgyn, LLC | Obstetrics & Gynecology | 6 Essex Center Dr, Suite 206, Peabody, MA 01960-2910 | 2005-07-19 |
| 1194270413 | St Marys Internal Medicine PC | Clinic/Center | 6 Essex Center Dr, Suite 304, Peabody, MA 01960-2904 | 2016-08-16 |
| 1427434083 | Salem Peabody Oral Surgery Inc. | Clinic/Center | 6 Essex Center Dr, Suite 112a, Peabody, MA 01960-2904 | 2015-08-06 |
| 1003208216 | Essex Neurological Associates | Psychiatry & Neurology | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2904 | 2015-02-25 |
| 1770992794 | Marguerite Cycz | Registered Nurse | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2014-08-04 |
| 1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
| 1639426315 | North Shore Dental Center | Dentist | 6 Essex Center Dr, Ste. 302, Peabody, MA 01960-2904 | 2012-08-13 |
| 1427367101 | North Shore Neurological Associates, Inc. | Internal Medicine | 6 Essex Center Dr, Suite 303, Peabody, MA 01960-2963 | 2010-09-29 |
| 1518279702 | Andrea Shah | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2010-07-05 |
| 1821329111 | Joanne G Brown | Social Worker | 6 Essex Center Dr, Suite 107, Peabody, MA 01960-2904 | 2010-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417987389 | Kevin M. Koshy | Internal Medicine | 6 Essex Center Dr., Suite 306, Peabody, MA 01960 | 2006-07-04 |
| 1215184569 | Ivana Lazich | Internal Medicine | 6 Essex Center Dr, Suite 306, Peabody, MA 01960-2904 | 2008-08-19 |
| 1730216268 | Renin Associates, P.C. | Internal Medicine | 6 Essex Center Dr, Suite 306, Peabody, MA 01960-2910 | 2007-02-28 |
| 1437183720 | Robert Canova | Internal Medicine | 6 Essex Center Dr, Suite 306, Peabody, MA 01960-2910 | 2006-07-10 |
| 1124058557 | Mahesh Wadhwa | Internal Medicine | 6 Essex Center Dr, Suite306, Peabody, MA 01960-2910 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386275444 | Grace Medical PC | Internal Medicine | 16 Ledge Hill St, Randolph, MA 02368-3514 | 2020-01-28 |
| 1588154041 | Ralph Nader | Internal Medicine | 72 East Concord St, Collamore Suite 29, Boston, MA 02118 | 2018-05-10 |
| 1184122905 | Claire Avillach | Internal Medicine | 650 Albany St Rm 540, Boston, MA 02118-2518 | 2018-01-26 |
| 1457880213 | Kidney Care and Transplant Services of New England, PC | Internal Medicine | 51 Locust St Ste 3, Northampton, MA 01060-2045 | 2017-06-06 |
| 1609263888 | Naveed Ashfaq | Internal Medicine | 148 Green St, Foxboro, MA 02035-2869 | 2015-04-24 |
| 1043612823 | New England Nephrology Associates, Pllc | Internal Medicine | 263 Huntington Ave # 232, Boston, MA 02115-4506 | 2014-09-23 |
| 1215345178 | Loulwa Alsharhan | Internal Medicine | 650 Albany St Fl 5, Boston, MA 02118-2518 | 2014-07-23 |
| 1154653921 | Innovative Medicine, PC | Internal Medicine | 70 Parker Hill Ave, Suite 3406, Roxbury Crossing, MA 02120-3224 | 2010-02-04 |
| 1639324791 | Patricia A Suzman | Internal Medicine | 87 Beacon St, Boston, MA 02108-3323 | 2008-11-17 |
| 1497922439 | Harald Sinclair Mackenzie | Internal Medicine | 422b Monument St, Concord, MA 01742-1810 | 2008-05-09 |
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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.