DR. JACOB J MUSALLAM


Address: 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004
Phone: 6239777211

DR. JACOB J MUSALLAM (NPI# 1659349561) 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) 1659349561
Entity Type Individual
Full Name DR. JACOB J MUSALLAM
Credential M.D.
Practice Address 10401 W Thunderbird Blvd
Sun City
AZ 85351-3004
Mailing Address Po Box 27340
Phoenix
AZ 85061-7340
Practice Telephone 6239777211
Mailing Telephone 6029439200
Mailing Fax Number 6022163000
Enumeration Date 2006-03-08
Last Update Date 2008-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
09205 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ HEALTH NET OF AZ 1Z7135 01
AZ 379413 05
AZ BCBSAZ AZ0342210 01

Office Location

Street Address 10401 W THUNDERBIRD BLVD
City SUN CITY
State AZ
Zip Code 85351-3004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275526139 Alice M Kraft Dietitian, Registered 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2005-08-25
1528671948 Joseph Christopher Marranca Physician Assistant 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2020-08-25
1740814920 Loren Kesti Registered Nurse 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2020-02-26
1366092082 Regina M Valenzuela Nurse Practitioner 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2019-09-14
1497302764 Rim Mekonnen Hadgu Pharmacist 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2019-08-21
1124670740 Noemi Frechette Physician Assistant 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2019-07-13
1649833716 Francisca Melissa Olibarria Registered Nurse 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2019-04-15
1235691387 Jessica Nicole Oliverson Abel Physician Assistant 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2019-04-05
1053880989 Deanna Kay Villalino Nurse Anesthetist, Certified Registered 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2018-11-20
1962977710 Alaunus Anesthesia Plc Anesthesiology 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2018-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467003566 T&h Hearing LLC Hearing Aid Equipment 13616 N. 99th Ave., Sun City, AZ 85351 2019-09-20
1881247682 Amanda M Neri Physician Assistant 10401 W. Thunderbird Blvd Md Anderson - Banner Boswell, Sun City, AZ 85351 2019-07-20
1649822313 Azmed Rehab LLC Family Medicine 14281 North Del Webb Blvd, Sun City, AZ 85351 2019-07-12
1982182267 Akdhc, LLC Internal Medicine 10249 W Thunderbird Blvd Ste 100, Sun City, AZ 85351 2018-07-30
1871084814 Amy Mikulec Physical Therapist Banner Physical Therapy and Rehab Boswell, 10503 W Thunderbird Blvd Suite 263a, Sun City, AZ 85351 2018-05-25
1194238345 Lorie Jo Matthews Nurse Practitioner 10494 W Thunderbird Blvd Ste 102, Sun City, AZ 85351 2017-11-09
1184153363 Susan Jane Hockman Registered Nurse 14601 N Delwebb Blvd, Sun City, AZ 85351 2017-06-09
1043769169 Medsource Orthotics & Prosthetics, Inc Prosthetic/Orthotic Supplier 13203 N 103rd Ave Ste J1&j2, Sun City, AZ 85351 2016-09-30
1033563002 Vittoria Giovannucci Technician/Technologist 10503 W Thunderbird Blvd Ste 101a, Sun City, AZ 85351 2016-04-15
1669858379 Qui Nguyen Pharmacist 10660 Nw Grand Ave, Sun City, AZ 85351 2015-08-04
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851498224 Gloria Burroughs Radiology 26870 Cherry Hills Blvd, Sun City, CA 92586-2568 2006-09-20
1134104243 Phoenix Diagnostic Imaging Inc Radiology 10249 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3113 2005-12-12
1609329135 Tower Imaging, Inc. Radiology 3862 Sun City Center Blvd, Sun City, FL 33573-6806 2016-08-02
1295976538 Shayna Caroline Klein Radiology 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2009-03-17
1710088919 Sun City Imaging LLC Radiology 3862 Sun City Center Blvd, Sun City, FL 33573 2006-09-26
1699743500 Sun City Imaging, P.C. Radiology 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2006-03-08
1164490090 Meenakshi Bellapravalu Radiology 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2006-03-08
1265400154 Zabihullah Habib Radiology 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 2006-03-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295345783 Susan Shotts Radiology 861 N Higley Rd Ste B101, Gilbert, AZ 85234-9602 2020-08-09
1841840188 Smsj Imaging Company LLC Radiology 630 N Alvernon Way Ste 150, Tucson, AZ 85711-1844 2019-09-18
1417507765 Smsj Imaging Company LLC Radiology 395 N Silverbell Rd Ste 185, Tucson, AZ 85745-2721 2019-09-18
1154971497 Smsj Imaging Company LLC Radiology 400 W Camino Casa Verde Ste 200, Green Valley, AZ 85614-3569 2019-09-18
1740839786 Smsj Imaging Company LLC Radiology 4892 N Stone Ave Ste 180, Tucson, AZ 85704-5761 2019-09-11
1689239824 Thumb Butte Radiology, LLC Radiology 3120 Willow Creek Rd, Prescott, AZ 86301-6699 2019-05-02
1376017020 Vpa PC Radiology 64 E Broadway Rd Ste 200231, Tempe, AZ 85282-1353 2019-01-16
1598243867 Mdig of Florida, LLC Radiology 10835 N 25th Ave Ste 140, Phoenix, AZ 85029-3408 2018-07-30
1689182966 Faca Vascular Radiology 1831 E Queen Creek Rd Ste 120, Chandler, AZ 85286-2019 2018-01-20
1265974836 Teleradiology Specialists LLC Radiology 4813 E Piccadilly Rd, Phoenix, AZ 85018-5540 2016-11-13
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Competitor

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City SUN CITY
Zip Code 85351

Improve Information

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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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