STEPHEN KELLY JACOBSEN (NPI# 1679843585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679843585 |
| Entity Type | Individual |
| Full Name | STEPHEN KELLY JACOBSEN |
| Practice Address |
The Johns Hopkins Hospital 600 North Wolfe Street Baltimore MD 21287-0001 |
| Mailing Address |
1 Westbrook Corporate Ctr Ste 240 Westchester IL 60154-5745 |
| Practice Telephone | 4109555000 |
| Mailing Telephone | 7082362673 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2018-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
336106572 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639625114 | Stephen Jacobsen | Acupuncturist | 10500 Se 26th Ave, Apt. G22, Milwaukie, OR 97222-9600 | 2016-08-25 |
| 1033377791 | Stephen Peter Jacobsen | Orthopaedic Surgery | 14535a Hazel Dell Pkwy, Carmel, IN 46033-9401 | 2008-05-29 |
| Street Address |
THE JOHNS HOPKINS HOSPITAL 600 NORTH WOLFE STREET |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528111564 | Amir Kheradmand | Psychiatry & Neurology | The Johns Hopkins Hospital, Path 2-210, 600 N.wolfe Street, Baltimore, MD 21287-0001 | 2007-01-22 |
| 1548822703 | Diamantis Xylas | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans Street - Tower 110, Baltimore, MD 21287 | 2019-07-08 |
| 1992360176 | Lucy X Li | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2019-05-03 |
| 1376002154 | Shannon N Radomski | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans Street-tower 110, Baltimore, MD 21287-0010 | 2019-03-19 |
| 1689139909 | Katherine Rodriguez | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans St, Baltimore, MD 21287 | 2019-02-01 |
| 1497234959 | Arshad Ameer Khan | Internal Medicine | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-08-07 |
| 1679079305 | Ashley Sang Eun Lee | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-04-02 |
| 1639675358 | Alexandra Lazzara | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-04-02 |
| 1831695899 | Tyler Lennon | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-03-30 |
| 1568918894 | Daria Nikolaeva | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21287-2109 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| Find all providers in zip 21287 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851875173 | Andrew Tyler Wilson | Orthopaedic Surgery | 10 N Greene St, Baltimore, MD 21201-1524 | 2018-09-21 |
| 1194176297 | Kelsey Millonig | Orthopaedic Surgery | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2016-06-29 |
| 1407252752 | Sinai Hospital of Baltimore, Inc | Orthopaedic Surgery | 2401 W Belvedere Ave, Schoenemen Building, Baltimore, MD 21215-5216 | 2014-11-14 |
| 1801130422 | Johns Hopkins University | Orthopaedic Surgery | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2012-11-20 |
| 1528359569 | Natalie Rondinelli Danna | Orthopaedic Surgery | 110 S Paca St Fl 6, Baltimore, MD 21201-1645 | 2011-04-25 |
| 1043299852 | James R Ficke | Orthopaedic Surgery | 601 N Caroline St, Jhoc 5215, Baltimore, MD 21278-0006 | 2006-01-10 |
| 1316925662 | Steven A Kulik Jr. | Orthopaedic Surgery | 5601 Loch Raven Blvd, Smyth Bldg., Suite G-1, Baltimore, MD 21239-2905 | 2006-01-06 |
| 1508854498 | Ian M Weiner | Orthopaedic Surgery | 2700 Quarry Lake Dr, Suite 300, Baltimore, MD 21209-2230 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558600924 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 910 Frederick Rd, Catonsville, MD 21228 | 2013-02-05 |
| 1194046854 | Jerry S. Farber Md Pa | Orthopaedic Surgery | 2415 Musgrove Rd, 107, Silver Spring, MD 20904-5200 | 2010-06-17 |
| 1275793168 | Greater Metropolitan Orthopaedics | Orthopaedic Surgery | 11325 Pembrooke Square, Suite 115, Waldorf, MD 20603 | 2008-06-13 |
| 1689861106 | John Joseph Keeling | Orthopaedic Surgery | 8401 Connecticut Ave, Suite 800, Chevy Chase, MD 20815-5803 | 2007-09-28 |
| 1831264720 | Frederick George Lippert IIi | Orthopaedic Surgery | National Naval Medical Ctr, Department of Orthopaedics, Bethesda, MD 20889-0001 | 2006-11-24 |
| 1417057795 | Edward G. Magur | Orthopaedic Surgery | 5454 Wisconsin Ave, Suite 1000, Chevy Chase, MD 20815-6901 | 2006-09-25 |
| 1386665735 | Jeffrey T Brodie | Orthopaedic Surgery | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2006-07-21 |
| 1669475216 | Edward S Holt | Orthopaedic Surgery | 2000 Medical Pkwy, Suite 101, Annapolis, MD 21401-3742 | 2005-05-27 |
| 1134122716 | James W Palumbo | Orthopaedic Surgery | 510 Idlewild Ave, Easton, MD 21601-3824 | 2005-05-27 |
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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.