JACOB JUTA (NPI# 1518112515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518112515 |
| Entity Type | Individual |
| Full Name | JACOB JUTA |
| Credential | MD |
| Practice Address |
210 9th St Se Rochester MN 55904-6756 |
| Mailing Address |
1650 4th St Se Rochester MN 55904-4717 |
| Practice Telephone | 5072883443 |
| Mailing Telephone | (507) 529-6600 |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 54703 | MN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD41639 | IA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 0116017922 | VA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD036678 | DC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 4th St Se, Rochester, MN 559044717 | 5075296600 |
| Street Address |
210 9TH ST SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013539 | Graham Douglas Ritts | Orthopaedic Surgery | 210 9th St Se, Rochester, MN 55904-6756 | 2005-06-21 |
| 1134774730 | Beau Bachman | Specialist/Technologist | 210 9th St Se, Rochester, MN 55904-6756 | 2019-08-09 |
| 1285192641 | Erica Dawn Runkle | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2019-03-05 |
| 1629553102 | Tarra J Lewis | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-10-01 |
| 1295220994 | Erica Behrens | Psychologist | 210 9th St Se, Rochester, MN 55904-6756 | 2018-06-25 |
| 1740785849 | Hamed Esfandiari | Ophthalmology | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-29 |
| 1962906982 | Tanelle Nicole Franko | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904 | 2018-03-23 |
| 1740782549 | Susan E Orlowski | Nurse Practitioner | 210 9th St Se, Rochester, MN 55904-6756 | 2018-03-07 |
| 1104327022 | Jacquelyn M Proper | Nurse Anesthetist, Certified Registered | 210 9th St Se, Rochester, MN 55904-6756 | 2018-02-26 |
| 1700399292 | Kelsey L Miller | Physician Assistant | 210 9th St Se, Rochester, MN 55904-6756 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512680 | Loay Aljaberi | Surgery | Mayo Clinic 200 1st Sw, Rochester, MN 55905-0001 | 2019-08-06 |
| 1669836268 | Erinn Afflick | Surgery | 200 1st South St, Rochester, MN 55905-0001 | 2016-04-09 |
| 1134567944 | Brent Paul Miller | Surgery | 99 Canal Landing Blvd Ste 6, Rochester, NY 14626-5112 | 2013-06-13 |
| 1235428855 | Mohamed Fadhl Algahim | Surgery | 601 Elmwood Ave Box Surg/cardiac, Rochester, NY 14642-3548 | 2011-04-04 |
| 1366680720 | Megan H. Nelson | Surgery | 200 First Street S.w., Rochester, MN 55905 | 2009-01-23 |
| 1396994109 | Celso E Dias | Surgery | 30 Hagen Dr Suite 120, Rochester, NY 14625 | 2008-09-17 |
| 1427225317 | Bala Gangadhara Reddy Thatigotla | Surgery | 1415 Portland Ave Ste 225, Rochester, NY 14621-3039 | 2008-05-11 |
| 1184824294 | Alok D Gandhi | Surgery | 1415portland Ave, Suite 225, Rochester, NY 14621-3001 | 2007-07-18 |
| 1790896330 | Mehdi Shemirani | Surgery | 1360 Portland Avenue, Suite 202, Rochester, NY 14621-3002 | 2006-08-31 |
| 1386662591 | Vincent Chang | Surgery | 1299 Portland Ave Ste 3, Rochester, NY 14621-2727 | 2006-07-17 |
| Find all providers in ROCHESTER | ||||
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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.