DR. JACOB SHOOK


Address: Medac 7860, Joint Base Elmendorf Richardson, AK 99505
Phone: 9073843895

DR. JACOB SHOOK (NPI# 1578912598) 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) 1578912598
Entity Type Individual
Full Name DR. JACOB SHOOK
Credential D.O.
Practice Address Medac 7860
Joint Base Elmendorf Richardson
AK 99505
Mailing Address 18811 Mills Bay Dr
Eagle River
AK 99577-8565
Practice Telephone 9073843895
Mailing Telephone 5706900421
Enumeration Date 2016-06-09
Last Update Date 2019-07-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 1721 NE Allopathic & Osteopathic Physicians

Office Location

Street Address MEDAC 7860
City JOINT BASE ELMENDORF RICHARDSON
State AK
Zip Code 99505

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134763378 Idris Usman Social Worker 786 D St., Jber-richardson, AK 99505 2019-10-31
1114578572 Matthew Coddington Physical Therapist Jber Soldier Centered Medical Home, Building 786, D Street, Jber, AK 99505 2019-09-26
1801362132 Jolene Danielle Sletten Audiologist Soldier Centered Medical Home-u.s. Army, 786 D Street, Joint Base Elemendorf-richardson, AK 99505 2018-10-14
1700322773 Joshua Hatch Physician Assistant Bldg 786 D St., Jber, AK 99505 2017-01-13
1699130963 Tracy Mumbulo Licensed Practical Nurse 208 Akutan Ave Unit A, Jber, AK 99505 2015-12-30
1609294933 Benjamin E. Thompson Physician Assistant Jber Scmh, Bldg 786 D St, Jber, AK 99505 2014-04-03
1679990279 Daniel Lord Psychologist 600 Richardson Drive Community Center, Fort Richardson, Anchorage, AK 99505 2014-03-21
1598199028 Nina Rodriguez General Practice 786 D St, Jber, AK 99505 2013-09-03
1720383185 Nicole Levaillant Psychologist Building 786 D Street, Anchorage, AK 99505 2011-01-17
1407160377 Christopher Hay Caldwell Optometrist Jber Scmh, Bldg 786, Optometry, Jber, AK 99505 2010-08-03
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831702455 Dr. Bart Worthington LLC Family Medicine 2957 Santa Patricia Ct, North Pole, AK 99705-6138 2020-08-24
1861015562 Maria L Freeman Family Medicine 1261 S Seward Meridian Pkwy Ste A, Wasilla, AK 99654-8372 2020-05-28
1285265181 Kodiak Birth and Wellness, LLC Family Medicine 1527 Mission Rd, Kodiak, AK 99615-6507 2020-01-29
1104487461 The Alfa Doc LLC Family Medicine 154 Fairbanks Drive, Valdez, AK 99686 2019-06-26
1982176368 Functional Medicine of Alaska, LLC Family Medicine 508 S Willow St Ste C, Kenai, AK 99611-6940 2018-12-22
1639645021 Alaska Medical Specialty Group LLC Family Medicine 4100 Lake Otis Pkwy Ste 218, Anchorage, AK 99508-5230 2018-10-23
1447736491 John Martin Kinsey Family Medicine 509 Pine Ave, Kenai, AK 99611-7556 2018-07-12
1790278356 Vanity: Aesthetics, Dermatology & Wellness, LLC Family Medicine 431 W 7th Ave Ste 204, Anchorage, AK 99501-3500 2018-06-08
1134638141 Nathan Neves George Family Medicine 950 E Bogard Rd Ste 228, Wasilla, AK 99654-7185 2017-09-21
1396275632 Donald Curran Olson Family Medicine Po Box 62119, Golovin, AK 99762-6119 2017-06-19
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Competitor

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City JOINT BASE ELMENDORF RICHARDSON
Zip Code 99505

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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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