DR. GREGORY JACOB JR.


Address: 1202 S Tyler St, Covington, LA 70433-2330
Phone: 9858984000

DR. GREGORY JACOB JR. (NPI# 1629430269) 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) 1629430269
Entity Type Individual
Full Name DR. GREGORY JACOB JR.
Credential MD
Practice Address 1202 S Tyler St
Covington
LA 70433-2330
Practice Telephone 9858984000
Mailing Telephone 9858984000
Enumeration Date 2016-03-23
Last Update Date 2020-06-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 307297 LA Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine 307297 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 2413163 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1310 W 7th St, Kaplan, LA 705482910 3376438300 3376435309

Other Providers GREGORY JACOB

NPI Name Taxonomy Address Enumeration
1992795710 Gregory S Jacob Dentist 2400 Ravine Way, Ste 500, Glenview, IL 60025-7652 2005-10-24

Office Location

Street Address 1202 S TYLER ST
City COVINGTON
State LA
Zip Code 70433-2330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669475190 Total Anesthesia Care Stph, LLC Anesthesiology 1202 S Tyler St, Covington, LA 70433-2330 2005-05-30
1578163127 Frances Coe Pharmacist 1202 S Tyler St, Covington, LA 70433-2330 2020-10-31
1841838125 Kelly Crim Nurse Practitioner 1202 S Tyler St, Covington, LA 70433-2330 2019-12-17
1184260259 Reghan Recile Registered Nurse 1202 S Tyler St, Covington, LA 70433-2330 2019-11-22
1144864497 Krista Dooley Dazzo Physician Assistant 1202 S Tyler St, Covington, LA 70433-2330 2019-10-30
1205486644 Karolina Diana Ruthner Nurse Practitioner 1202 S Tyler St, Covington, LA 70433-2330 2019-09-18
1306300264 Kimberly F Poussard Nurse Practitioner 1202 S Tyler St, Covington, LA 70433-2330 2019-01-24
1720508534 Terry Blais Compton Registered Nurse 1202 S Tyler St, Covington, LA 70433-2330 2017-06-22
1841730330 Sarah Delery Registered Nurse 1202 S Tyler St, Covington, LA 70433-2330 2017-03-02
1831548445 Peter T Braud Family Medicine 1202 S Tyler St, Covington, LA 70433-2330 2016-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790301018 Caroline K. Wilson Speech-Language Pathologist 19105 Sandy Lane Suite A, Covington, LA 70433 2020-06-23
1568092013 Tracy T Aljabi Nurse Practitioner 648 Crestwood Dr., Covington, LA 70433 2020-01-23
1093365462 Maria Robert Hebrock Marriage & Family Therapist 71338 La-21, Suite 101, Covington, LA 70433 2019-09-17
1750930806 Terry Fink Troxler Speech-Language Pathologist 521 Covington Point Dr, Covington, LA 70433 2019-09-10
1780231589 Margaret Nordness Favre Behavioral Analyst 3999 Us-190, Covington, LA 70433 2019-08-26
1881241180 Jennifer Ann Bacile Counselor 604 E 15th Street, Covington, LA 70433 2019-08-21
1356906689 Moving and Caring Transportation LLC Non-emergency Medical Transport (VAN) 251 Vintage Drive, Covington, LA 70433 2019-05-02
1780153874 Nga Endoscopy Center LLC Clinic/Center 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 2018-11-19
1831667229 Geauxprodme Durable Medical Equipment & Medical Supplies 1304 Champagne Street, Covington, LA 70433 2018-11-05
1376037994 Pamela Ann Bernabo Specialist/Technologist, Other 80 Maison Drive, Covington, LA 70433 2018-06-18
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093265605 Tipton County Integrated Medicine Internal Medicine 201 W Pleasant Avenue, Covington, TN 38019-2538 2016-10-06
1942539861 P Craig Parker, Md Internal Medicine 47 Oaklawn Dr, Covington, LA 70433-4520 2009-12-24
1295965986 Premium Care Med Group Inc Internal Medicine 3828 Salem Rd, Suite 200, Covington, GA 30016-4528 2009-07-16
1043488364 Vijaya Swamy Internal Medicine 10109 Fieldcrest Walk, Covington, GA 30014-2035 2008-02-20
1154520773 Darryl Arlton Driggs Internal Medicine 17438 Hard Hat Drive, Covington, LA 70435 2007-07-13
1841496718 Brandon Deann Simon-davis Internal Medicine 130 Lakeview Circle, Covington, LA 70433 2007-06-26
1053512996 Eastview Internal Medicine, P.C. Internal Medicine 3285 Salem Rd, Covington, GA 30016-1863 2007-05-29
1386855138 Lemuel Phillips Jenkins Internal Medicine 131 Cherokee Rose Ln Ste B, Covington, LA 70433-7244 2007-05-24
1679695910 Douglas H Rank Internal Medicine 12 W Pike St, Covington, KY 41011 2007-04-06
1154499481 Nirmala Sowbhagya Chelliah Internal Medicine Eastview Internal Medicine, P.C. 3285 Salem Road, Covington, GA 30016-1863 2006-12-04
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Competitor

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City COVINGTON
Zip Code 70433

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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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