DR. STEPHEN CHACKO JACOB (NPI# 1700828795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700828795 |
Entity Type | Individual |
Full Name | DR. STEPHEN CHACKO JACOB |
Credential | M.D. |
Practice Address |
2470 Windy Hill Rd Se Ste 300 Marietta GA 30067-8613 |
Practice Telephone | 7706183011 |
Mailing Telephone | 7706183011 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2017-03-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
041142 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699327601 | Stephen Jacob | Physical Therapist | 449 River Ave, Williamsport, PA 17701-3722 | 2019-07-10 |
1346241833 | Stephen P Jacob | Anesthesiology | 6701 N Charles St, Towson, MD 21204-6808 | 2005-08-09 |
Street Address |
2470 WINDY HILL RD SE STE 300 |
City | MARIETTA |
State | GA |
Zip Code | 30067-8613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649729658 | Serene Transitional Hospice | Hospice, Inpatient | 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 | 2016-10-03 |
1780048330 | Cheerful Habits LLC | Clinic/Center | 2470 Windy Hill Rd Se, Suite 300 Pmb 5202, Marietta, GA 30067-8613 | 2016-04-11 |
1073993150 | Annette Mary Bernard Md P.a. | Clinic/Center | 2470 Windy Hill Rd Se, Num 366c, Marietta, GA 30067-8613 | 2015-06-04 |
1366821365 | Professional Premium Services Inc | Clinic/Center | 2470 Windy Hill Rd Se, Num 366c, Marietta, GA 30067-8613 | 2015-05-22 |
1467842617 | Lauren Thomas | Behavioral Analyst | 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 | 2015-01-27 |
1730579137 | Vicki Posey Lackey | Behavioral Analyst | 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 | 2015-01-23 |
1467840447 | Cobb Anger Management Company LLC | Community/Behavioral Health | 2470 Windy Hill Rd Se, Marietta, GA 30067-8613 | 2014-12-29 |
1144626094 | Ab Center Group Corp LLC | Internal Medicine | 2470 Windy Hill Rd Se, Suite 322a, Marietta, GA 30067-8613 | 2014-11-05 |
1982006904 | Innovative Therapy of Georgia | Psychologist | 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 | 2014-09-22 |
1821490848 | Shelena Davis | Counselor | 2470 Windy Hill Rd Se, Suite 300, Marietta, GA 30067-8613 | 2014-09-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
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Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790234086 | U.S. Healthworks Medical Group of Georgia, Inc. | Preventive Medicine | 470 Franklin Gtwy Se, Suite 103, Marietta, GA 30067-7739 | 2016-09-27 |
1184864159 | Haviva Goldhagen | Preventive Medicine | 1376 Sheffield Pkwy, Marietta, GA 30062-2740 | 2009-03-03 |
1609016674 | Karl C. Gildiner | Preventive Medicine | 1376 Sheffield Pkwy, Marietta, GA 30062-2740 | 2009-03-03 |
1528260247 | Walter B Wildstein | Preventive Medicine | 220 Cobb Pkwy N, Suite 400, Marietta, GA 30062-3581 | 2007-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
1447742614 | John Francis Halpin | Preventive Medicine | Occupational Health Clinic Bldg. 16, 1600 Clifton Rd., Atlanta, GA 30333 | 2018-06-04 |
1184173478 | U.S. Healthworks Medical Group of Georgia, Inc. | Preventive Medicine | 7750 The Blfs Ste 100, Austell, GA 30168-7754 | 2016-09-27 |
1518329440 | Harold Wayne Clayton | Preventive Medicine | 1133 Drewsbury Ct Se, Smyrna, GA 30080-3953 | 2016-03-21 |
1932511946 | Richard Miller | Preventive Medicine | 100 Alabama St Sw, Atlanta, GA 30303-8701 | 2014-05-24 |
1801219373 | Fredric Kevin Rosenberg | Preventive Medicine | 3270 Cochise Dr Se, Atlanta, GA 30339-4319 | 2014-02-03 |
1508121625 | Ohm Clinical Services, Inc. | Preventive Medicine | 8100b Roswell Rd, 400, Atlanta, GA 30350-6428 | 2012-07-05 |
1194957084 | Paul Joe | Preventive Medicine | 601 Belgrave Ln, Tucker, GA 30084-2077 | 2009-08-11 |
1497998058 | Margarett Ann Wilson | Preventive Medicine | 80 Jesse Hill Drive Ne, Atlanta, GA 30303 | 2009-04-13 |
1982868915 | Imo Friday Ndem | Preventive Medicine | 4111 Old Petersburg Rd, Pathway To Wellness Center,pc, Augusta, GA 30907-3346 | 2008-07-18 |
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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.