MR. DONALD J JACOBS


Address: 1711 S Stephenson Ave Ste 125, Iron Mountain, MI 49801-3649
Phone: 9067765810

MR. DONALD J JACOBS (NPI# 1699757286) 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) 1699757286
Entity Type Individual
Full Name MR. DONALD J JACOBS
Credential MD
Practice Address 1711 S Stephenson Ave Ste 125
Iron Mountain
MI 49801-3649
Mailing Address Po Box 549
Iron Mountain
MI 49801-0549
Practice Telephone 9067765810
Practice Fax Number 9062280218
Mailing Telephone 9067741313
Mailing Fax Number 9067765639
Enumeration Date 2005-11-18
Last Update Date 2020-01-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 4301022733 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 3010109 05
WI 31333300 05
MI RR MEDICARE 080079313 01
MI BCBS MI 0802243952 01

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Office Location

Street Address 1711 S STEPHENSON AVE STE 125
City IRON MOUNTAIN
State MI
Zip Code 49801-3649

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639668346 Bellin Health Iron Mountain Inc Internal Medicine 1711 S Stephenson Ave Ste 125, Iron Mountain, MI 49801-3649 2018-05-08
1881953115 Derrick Schinderle Chiropractor 1711 S Stephenson Ave Ste 125, Iron Mountain, MI 49801-3649 2012-05-07
1558535831 Dickinson County Healthcare System Neuromusculoskeletal Medicine & OMM 1711 S Stephenson Ave Ste 125, Iron Mountain, MI 49801-3649 2008-04-17
1134166101 Dickinson County Healthcare System Family Medicine 1711 S Stephenson Ave Ste 125, Iron Mountain, MI 49801-3649 2006-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770008062 John M Baccino Dietitian, Registered 325 E H St # 133, Iron Mountain, MI 49801 2017-08-08
1699148692 Bd Baker Rentals LLC Optometrist 2100 Aragon Street, Iron Mountain, MI 49801 2015-11-12
1083044762 Integrated First Response-great Lakes Ambulance 719 River Avenue, Iron Mountain, MI 49801 2013-11-18
1912340936 Andrew James Tomlinson Social Worker Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 2013-04-09
1902196702 Daniel John Fornetti Dentist 100 S. Stephenson Ave., Iron Mountain, MI 49801 2011-04-13
1871815613 Colleen Ann Sleik Physical Therapist Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 2010-02-21
1679714083 Great Lakes Recovery Centers, Inc. Clinic/Center 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 2009-03-13
1831349539 Amanda Jane Petti Dietitian, Registered 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 2008-09-30
1891946521 Riki Rouse Hearing Instrument Specialist W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 2008-09-30
1366690612 Greenlund Enterpries, Inc Hearing Aid Equipment W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 2008-08-28
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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 city

NPI Name Taxonomy Address Enumeration
1699976662 Carl H Reinighaus Family Medicine 135 South Bass Lake Lane, Iron Mountain, MI 49801-0473 2007-05-29
1801980602 Anna K Mitura- Lewandowski Family Medicine W8060 Millie Hill Est.dr, Iron Mountain, MI 49801 2006-10-03
1508969155 Douglas Lewis Villa Family Medicine 212 E B St, Iron Mountain, MI 49801-3411 2006-09-07
1033147152 Robert G. Scharffenberg Family Medicine 325 H. Street, Vamc, Im, Iron Mountain, MI 49801 2006-06-29
1265480297 Kristi Rae Olson Family Medicine 1711 S Stephenson Ave Ste 300, Iron Mountain, MI 49801-3650 2006-05-04
1265434849 Daniel M Mitchell Family Medicine 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 2005-08-12
1730189663 Alexander Shelton Judy Family Medicine 440 Woodward Ave, Iron Mountain, MI 49801-4631 2005-07-21
1619316270 Cameron Philip Werner Family Medicine 440 Woodward Ave, Iron Mountain, MI 49801-4631 2013-06-17
1992141352 Michigan-wisconsin Family Practice Associates, P.C. Family Medicine 1711 S Stephenson Ave, Suite 300, Iron Mountain, MI 49801-3650 2013-05-13
1700125150 Dickinson County Healthcare System Family Medicine 1711 S Stephenson Ave, Suite 115, Iron Mountain, MI 49801-3639 2013-02-05
Find all providers in IRON MOUNTAIN

Competitor

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City IRON MOUNTAIN
Zip Code 49801

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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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