DR. GARY R JACOBS (NPI# 1407853732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407853732 |
| Entity Type | Individual |
| Full Name | DR. GARY R JACOBS |
| Credential | M.D. |
| Practice Address |
703 E Marshall Ave #4008 Longview TX 75601-5500 |
| Practice Telephone | 9037532276 |
| Practice Fax Number | 9037537420 |
| Mailing Telephone | 9037532276 |
| Mailing Fax Number | 9037537420 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2016-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
E4427 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 110309502 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808183 | Gary Jacobs | Home Health Aide | 1581 Clay Rd, Dorset, OH 44032-9722 | 2020-10-10 |
| 1679776033 | Gary Jacobs | Counselor | 940 Haight St, San Francisco, CA 94117-3107 | 2007-06-05 |
| 1760690135 | Gary Leonard Jacobs | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2007-05-18 |
| 1073681623 | Gary P Jacobs | Specialist | 14560 Magnolia St Ste 101, Westminster, CA 92683-4791 | 2006-12-01 |
| 1366406399 | Gary Jacobs | Optometrist | 684 Allen St, Syracuse, NY 13210-2664 | 2006-04-14 |
| 1992772552 | Gary M Jacobs | Ophthalmology | 681 Third Ave, Chula Vista, CA 91910-5703 | 2006-03-02 |
| 1285615963 | Gary Blayne Jacobs | Emergency Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2005-11-09 |
| 1346675121 | Gary W. Jacobs | Social Worker | 11161 Kenwood Rd, Blue Ash, OH 45242-1817 | 2013-09-11 |
| 1417292277 | Gary J. Jacobs | Speech-Language Pathologist | 340 Falcon Ridge Pkwy, Building 500, Mesquite, NV 89027-8850 | 2012-12-05 |
| 1649404104 | Gary Jacobs | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2009-05-12 |
| Street Address |
703 E MARSHALL AVE #4008 |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75601-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011336 | Jamie Dawn Graves | Nurse Practitioner | 703 E Marshall Ave, Longview, TX 75601-5500 | 2019-09-05 |
| 1831562834 | Dana Johnson | Nurse Practitioner | 703 E Marshall Ave, Suite 5007, Longview, TX 75601-5500 | 2015-11-12 |
| 1588034128 | Carrie Judd | Nurse Practitioner | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2015-09-25 |
| 1750769238 | Special Health Resources for Texas Incorporated | Clinic/Center | 703 E Marshall Ave, Suite 310, Longview, TX 75601-5500 | 2015-05-15 |
| 1588074082 | Horachel Jones | Nurse Practitioner | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2014-05-06 |
| 1710238514 | Sai Soumya S. Kota | Internal Medicine | 703 E Marshall Ave, Suite 1001, Longview, TX 75601-5500 | 2012-09-20 |
| 1528323953 | Khashayar Kash Vahdat | Internal Medicine | 703 E Marshall Ave, Suite 5008, Longview, TX 75601-5500 | 2012-07-11 |
| 1942573381 | Good Shepherd Surgical Associates, Pllc | Surgery | 703 E Marshall Ave, Suite 3000, Longview, TX 75601-5500 | 2012-02-15 |
| 1699085563 | Cr Martin M D P A | Internal Medicine | 703 E Marshall Ave, Suite 3008, Longview, TX 75601-5500 | 2010-10-13 |
| 1821327966 | Nicole Deann Francis | Nurse Practitioner | 703 E Marshall Ave, Ste 3008, Longview, TX 75601-5500 | 2009-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
| 1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
| 1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
| 1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
| 1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
| 1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
| 1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
| 1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
| 1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
| 1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
| Find all providers in zip 75601 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215152251 | East Texas Plastic Surgery LLP | Surgery | 703 E Marshall Ave Ste 4008, Longview, TX 75601-5622 | 2007-04-16 |
| 1194723346 | Virginia S. Huang | Surgery | 1615 Delaware St, Suite 200, Longview, WA 98632-2310 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408588 | Hill Country Plastic Surgery, Pllc | Surgery | 8042 Wurzbach Rd Ste 120, San Antonio, TX 78229-3818 | 2020-08-23 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1780242123 | Hands of Houston Pllc | Surgery | 6704 Ferris, Bellaire, Texas, TX 77401 | 2019-05-31 |
| 1609361419 | Texas Surgery Specialist, Pllc | Surgery | 1000 N Davis Dr Ste E, Arlington, TX 76012-3202 | 2018-06-25 |
| 1720575954 | Wijay Tops, Pllc | Surgery | 4306 Yoakum Blvd Ste 520, Houston, TX 77006-5883 | 2018-04-13 |
| 1437664067 | Austin Cosmetic Surgery | Surgery | 3102 Rr 620 S, Lakeway, TX 78734 | 2017-12-05 |
| 1326558594 | West Houston Aesthetic and Plastic Surgery Pllc | Surgery | 1717 Wisteria Way, Westlake, TX 76262-9083 | 2017-10-02 |
| 1235667189 | Lyos Plastic Surgery & Associates | Surgery | 9230 Katy Fwy Ste 420, Houston, TX 77055-7468 | 2017-05-23 |
| 1275071292 | Elite Breast & Trauma Care | Surgery | 7400 Fannin St # 700c, Houston, TX 77054-1920 | 2017-02-09 |
| 1699179390 | Sam T. Hamra M.d. P. A. | Surgery | 4131 N Central Expy # 950, Dallas, TX 75204-2102 | 2014-10-09 |
| Find all providers with the same taxonomy | ||||
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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.