JESSEN JACOB


Address: 4037 Nw 86th Ter, Gainesville, FL 32606-9277
Phone: 3522739065

JESSEN JACOB (NPI# 1457642829) 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) 1457642829
Entity Type Individual
Full Name JESSEN JACOB
Credential M.D.
Practice Address 4037 Nw 86th Ter
Gainesville
FL 32606-9277
Mailing Address Po Box 100277
Gainesville
FL 32610-0277
Practice Telephone 3522739065
Mailing Telephone 3522739065
Enumeration Date 2011-04-20
Last Update Date 2019-01-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
ME135775 FL Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
420 Delaware St Se, Mmc 508, Minneapolis, MN 554550341 6126257924

Office Location

Street Address 4037 NW 86TH TER
City GAINESVILLE
State FL
Zip Code 32606-9277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104051515 Sailesh Konda Dermatology 4037 Nw 86th Ter, 4th Floor, Gainesville, FL 32606-9277 2009-05-29
1386245454 Florida Clinical Practice Association Inc Clinical Medical Laboratory 4037 Nw 86th Ter, Gainesville, FL 32606-9277 2020-11-05
1326693367 Laura Murray Merzbacher Physician Assistant 4037 Nw 86th Ter, Gainesville, FL 32606-9277 2019-08-06
1043873847 Alexander Sidawi Student in an Organized Health Care Education/Training Program 4037 Nw 86th Ter, Gainesville, FL 32606-9277 2019-04-17
1891284071 Liqing Zhang Student in an Organized Health Care Education/Training Program 4037 Nw 86th Ter, Gainesville, FL 32606-9277 2018-05-03
1619402849 Richard Leroy Stratton IIi Student in an Organized Health Care Education/Training Program 4037 Nw 86th Ter, Rm. 3154, Gainesville, FL 32606-9277 2017-04-25
1215461256 Nathan Chan Student in an Organized Health Care Education/Training Program 4037 Nw 86th Ter, Room 3154, Dept of Psychiatry, Gainesville, FL 32606-9277 2017-04-17
1831623891 Casey Moore Lowrey Student in an Organized Health Care Education/Training Program 4037 Nw 86th Ter, Room 3154, Gainesville, FL 32606-9277 2017-04-17
1457885527 Kim Christopher Knudson Student in an Organized Health Care Education/Training Program 4037 Nw 86th Ter, Rm. 3154, Gainesville, FL 32606-9277 2017-04-16
1518491737 Elizabeth Soyeon Ahn Psychiatry & Neurology 4037 Nw 86th Ter, Gainesville, FL 32606-9277 2017-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326652389 Michael James Watkins Massage Therapist 6418 Nw 39th Ave, Gainesville, FL 32606 2020-09-06
1073134813 Sun View Counseling LLC Counselor 3550 Nw 87 Ter., Gainesville, FL 32606 2020-05-04
1588283568 Jeena Kar Student in an Organized Health Care Education/Training Program Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 2020-04-10
1467917864 Marquetta Lee Social Worker 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 2019-02-10
1376025742 Jacob Sanow Student in an Organized Health Care Education/Training Program 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 2018-09-03
1750878393 Taylor Brown Occupational Therapist 3850 Nw 83rd St # 201, Gainesville, FL 32606 2018-04-19
1568914471 Bernard Mitchll Behavior Technician 3515 Nw 60th Terrace, Gainesville, FL 32606 2016-10-26
1760839534 Nancy Christiana Collins Counselor 4907 Nw 43rd St C., Gainesville, FL 32606 2016-05-20
1730553140 Dawn Johnson O'byrne Counselor 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 2015-11-23
1225424815 Dianne Voitle Acupuncturist 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 2015-04-09
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427690775 The Cardiac and Vascular Institute Ambulatory Surgery Center Internal Medicine 4645 Nw 8th Ave Ste 10, Gainesville, FL 32605-4688 2019-10-08
1639213101 James B Destephens Md Pa Internal Medicine 2341 Nw 41st St Ste B, Gainesville, FL 32606-7442 2007-02-17
1861583833 Mark Velpeau Barrow Sr. Internal Medicine 1731-b Nw 6th Steet, Gainesville, FL 32609-3531 2006-09-27
1881650836 James J Nelson Md Pa Internal Medicine 3720 Nw 83rd St, Gainesville, FL 32606-5603 2006-04-26
1902871155 David P Johnson Internal Medicine 535 Jesse Jewell Parkway, Suite C, Gainesville, GA 30501 2006-02-21
1982684460 James Bruce Destephens Internal Medicine 2341 Nw 41st St, Suite B, Gainesville, FL 32606-7494 2006-01-19
1497730428 Khawaja N Anwar Internal Medicine 1902 Hospital Blvd Ste F, Gainesville, TX 76240-2008 2005-12-13
1255313649 Southern Cardiac Interpretation Pa Internal Medicine 350 Nw 76th Dr, Suite B, Gainesville, FL 32607-6662 2005-11-19
1760484562 Masih Uddin Internal Medicine 1475 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 2005-08-11
1679572069 Sudhakara Babu Chennareddy Internal Medicine 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501-3466 2005-07-18
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Competitor

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City GAINESVILLE
Zip Code 32606

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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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