JOSEPH JACOB (NPI# 1720030349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720030349 |
| Entity Type | Individual |
| Full Name | JOSEPH JACOB |
| Practice Address |
150 S Mount Auburn Rd Ste 344 Cape Girardeau MO 63703-4910 |
| Mailing Address |
Po Box 843225 Kansas City MO 64184-3225 |
| Practice Telephone | 5733315515 |
| Practice Fax Number | 5733315516 |
| Mailing Telephone | 7086331234 |
| Mailing Fax Number | 7083427100 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
36615 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 160306001 | 05 | |
| MO | 203568324 | 05 | |
| HEALTHLINK | 188833 | 01 | |
| MO | ANTHEM BCBS | 444830 | 01 |
| RAILROAD MEDICARE | P00262024 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891709846 | Joseph Edward Jacob | Dentist | 3157 Harrison Ave, Cincinnati, OH 45211-5642 | 2006-07-27 |
| 1740892850 | Joseph Jacob | Pharmacist | 93 Us Highway 27 S, Avon Park, FL 33825-3334 | 2020-08-19 |
| 1912469495 | Joseph John Jacob | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2019-04-03 |
| 1336626134 | Joseph George Jacob | Student in an Organized Health Care Education/Training Program | 1600 S Andrews Ave, Fort Lauderdale, FL 33316-2510 | 2018-07-24 |
| 1063916344 | Joseph Jijo Jacob | Physical Therapist | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2739 | 2018-03-21 |
| 1235440090 | Joseph M Jacob | Urology | 750 E Adams St, Syracuse, NY 13210-2306 | 2010-06-27 |
| 1134446891 | Joseph Richard Jacob | Otolaryngology | 1490 E Foremaster Dr, Ste 350, Saint George, UT 84790-4488 | 2010-04-21 |
| 1033309893 | Joseph S Jacob | Dentist | 23 W Prospect St, East Brunswick, NJ 08816-2116 | 2007-07-27 |
| 1568416493 | Joseph P Jacob | Physical Medicine & Rehabilitation | 2695 Rocky Mountain Ave, Suite 200, Loveland, CO 80538-8702 | 2006-05-22 |
| Street Address |
150 S MOUNT AUBURN RD STE 344 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457960 | Richard Ernest Kinsey | Nurse Practitioner | 150 S Mount Auburn Rd, Suite 418, Cape Girardeau, MO 63703-4911 | 2005-06-20 |
| 1053663641 | Sarah Eloise Oliver | Physician Assistant | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2012-10-08 |
| 1588912620 | Karen E Page | Nurse Practitioner | 150 S Mount Auburn Rd, Suite 318, Cape Girardeau, MO 63703-4911 | 2012-08-21 |
| 1386932911 | Corrie Mae Dudley | Nurse Practitioner | 150 S Mount Auburn Rd, Suite 318, Cape Girardeau, MO 63703-4911 | 2011-07-18 |
| 1992092639 | Yawen Jiang | Audiologist | 150 S Mount Auburn Rd, Ste 420, Cape Girardeau, MO 63703-4911 | 2011-07-01 |
| 1003063611 | Stephanie Michelle Byrd | Audiologist | 150 S Mount Auburn Rd, Suite 420, Cape Girardeau, MO 63703-4911 | 2008-08-26 |
| 1164696746 | Cape Girardeau Audiology | Audiologist | 150 S Mount Auburn Rd, Suite 420, Cape Girardeau, MO 63703-4911 | 2008-04-15 |
| 1306017769 | Mt. Auburn Medical Group, LLC | Family Medicine | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2008-03-13 |
| 1063699833 | Kaywan Dinyar Gamadia | Neurological Surgery | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2008-01-23 |
| 1013100346 | Jessica H Lemmons | Obstetrics & Gynecology | 150 S Mount Auburn Rd, Ste 318, Cape Girardeau, MO 63703-4911 | 2007-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395687 | Alaa A Elbendary | Obstetrics & Gynecology | 11652 Studt Ave, Saint Louis, MO 63141-7025 | 2006-04-13 |
| 1154385417 | Kevin O Easley | Obstetrics & Gynecology | 12855 North Forty Dr, Suite 200, St Louis, MO 63141 | 2006-04-13 |
| 1154393411 | Dan-arin Silasi | Obstetrics & Gynecology | 607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 | 2006-02-02 |
| 1366423360 | Leslie S Massad | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2005-11-08 |
| 1104813633 | Nishan Chobanian Jr. | Obstetrics & Gynecology | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2005-09-30 |
| 1639176290 | Donald Clayton Patterson | Obstetrics & Gynecology | 503 E Nifong Blvd # 217, Columbia, MO 65201-3792 | 2005-06-28 |
| 1386079481 | Melissa Schwartz | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2013-09-08 |
| 1174835136 | Blair Smith | Obstetrics & Gynecology | 2340 E Meyer Blvd Ste 546, Kansas City, MO 64132-1110 | 2010-07-07 |
| 1386960359 | Michelle Renee Rowland | Obstetrics & Gynecology | 4321 Washington St, Kansas City, MO 64111-5905 | 2010-04-15 |
| 1467688937 | Chotchai Srisuro, M.d., Inc. | Obstetrics & Gynecology | 1011 Bowles Ave, Suite G10, Fenton, MO 63026-2387 | 2009-06-10 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.