DR. JACOB SAJ OOMMEN (NPI# 1720020431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720020431 |
| Entity Type | Individual |
| Full Name | DR. JACOB SAJ OOMMEN |
| Credential | M.D |
| Practice Address |
19204 N 93rd Way Scottsdale AZ 85255-5528 |
| Practice Telephone | 4808219339 |
| Practice Fax Number | 4808219555 |
| Mailing Telephone | 4802807007 |
| Mailing Fax Number | 4808219555 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
37316 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
036-087704 | IL | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
112403 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
04-25365 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | LICENSE | 37316 | 01 |
| AZ | 240491 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669676243 | Jacob Kiran Oommen | Radiology | 411 Gully Ranch Ct, Dickinson, TX 77539-7279 | 2007-06-14 |
| 1881736627 | Jacob Oommen | Specialist | 502 Rue De Sante Ste 208, La Place, LA 70068-5424 | 2007-02-12 |
| Street Address |
19204 N 93RD WAY |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-5528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658750 | Arizona Valley Infectious Diseases Plc | Internal Medicine | 13531 E Ocotillo Rd, Scottsdale, AZ 85259-2316 | 2020-04-24 |
| 1184653263 | Kara L Asbury | Internal Medicine | 7312 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255 | 2006-07-01 |
| 1952396400 | Nestor F Varon | Internal Medicine | 7119 E Shea Blvd, Suite 109-365, Scottsdale, AZ 85254-6107 | 2005-09-12 |
| 1417414368 | Apex Physicians Infectious Diseases Specialists & Travel Clinic LLC | Internal Medicine | 7312 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7452 | 2019-02-27 |
| 1265904338 | Arizona Infectious Disease Pllc | Internal Medicine | 8757 E Bell Rd, Scottsdale, AZ 85260 | 2018-12-29 |
| 1659821106 | Christopher Fiske Saling | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2016-10-08 |
| 1417335647 | Kathryn Kimes | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2015-05-07 |
| 1720487879 | Juan Carlos Gea Banacloche | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259 | 2014-08-14 |
| 1750595575 | Aman Kumar Dalal | Internal Medicine | 8757 E Bell Rd, Scottsdale, AZ 85260-1322 | 2007-05-10 |
| 1073530945 | Neil M Ampel | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2006-07-16 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
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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.