GARY H JACOBS (NPI# 1750300182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750300182 |
| Entity Type | Individual |
| Full Name | GARY H JACOBS |
| Credential | CRNA |
| Practice Address |
11990 N Central Expy Dallas TX 75243-3714 |
| Mailing Address |
Po Box 840853 Suite 400 Dallas TX 75284-3755 |
| Practice Telephone | 9722341900 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 530245 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | N-29165 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 805858000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6606 Lbj Fwy, Dallas, TX 752406533 | 9727155000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808183 | Gary Jacobs | Home Health Aide | 1581 Clay Rd, Dorset, OH 44032-9722 | 2020-10-10 |
| 1679776033 | Gary Jacobs | Counselor | 940 Haight St, San Francisco, CA 94117-3107 | 2007-06-05 |
| 1760690135 | Gary Leonard Jacobs | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2007-05-18 |
| 1073681623 | Gary P Jacobs | Specialist | 14560 Magnolia St Ste 101, Westminster, CA 92683-4791 | 2006-12-01 |
| 1366406399 | Gary Jacobs | Optometrist | 684 Allen St, Syracuse, NY 13210-2664 | 2006-04-14 |
| 1992772552 | Gary M Jacobs | Ophthalmology | 681 Third Ave, Chula Vista, CA 91910-5703 | 2006-03-02 |
| 1285615963 | Gary Blayne Jacobs | Emergency Medicine | 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952-3922 | 2005-11-09 |
| 1407853732 | Gary R Jacobs | Surgery | 703 E Marshall Ave, #4008, Longview, TX 75601-5500 | 2005-07-01 |
| 1346675121 | Gary W. Jacobs | Social Worker | 11161 Kenwood Rd, Blue Ash, OH 45242-1817 | 2013-09-11 |
| 1417292277 | Gary J. Jacobs | Speech-Language Pathologist | 340 Falcon Ridge Pkwy, Building 500, Mesquite, NV 89027-8850 | 2012-12-05 |
| Street Address |
11990 N CENTRAL EXPY |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512810 | Janet E Kelley | Nurse Practitioner | 11990 N Central Expy, Dallas, TX 75243-3714 | 2005-07-14 |
| 1669865713 | Unified Anesthesia Services Pllc | Anesthesiology | 11990 N Central Expy, Dallas, TX 75243-3714 | 2015-03-13 |
| 1649676024 | Champion Anesthesia Consultants, Pllc | Anesthesiology | 11990 N Central Expy, Dallas, TX 75243-3714 | 2014-11-12 |
| 1497167290 | Yj Surgical Assistance LLC | Registered Nurse | 11990 N Central Expy, Dallas, TX 75243-3714 | 2014-05-28 |
| 1104247311 | Surgpro Associates LLC | Registered Nurse | 11990 N Central Expy, Dallas, TX 75243-3714 | 2013-12-16 |
| 1518295765 | Aaron Jacob Lahasky | Nurse Anesthetist, Certified Registered | 11990 N Central Expy, Dallas, TX 75243-3714 | 2009-11-30 |
| 1659543429 | Forest Park Medical Center LLC | General Acute Care Hospital | 11990 N Central Expy, Dallas, TX 75243-3714 | 2008-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063056703 | Devco Anesthesia Services, Pllc | Nurse Anesthetist, Certified Registered | 7147 Royal Ln, Dallas, TX 75230-3607 | 2019-11-06 |
| 1861044224 | Texas Joint Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd Ste 245d, Dallas, TX 75225-4203 | 2019-07-15 |
| 1851890636 | Old Town Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 5500 Greenville Avenue Suite 1100, Dallas, TX 75206 | 2018-02-07 |
| 1114438991 | Donald R Missel | Nurse Anesthetist, Certified Registered | 6606 Lbj Freeway, Suite 200, Dallas, TX 75240 | 2017-10-19 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1689104796 | Jaade Anesthesia Management LLC. | Nurse Anesthetist, Certified Registered | 17980 Dallas Pkwy Ste 100, Dallas, TX 75287-6817 | 2017-06-13 |
| 1144755224 | Rpr Et Associates LLC | Nurse Anesthetist, Certified Registered | 11201 Leachman Cir, Dallas, TX 75229-4349 | 2017-04-26 |
| 1316393218 | Miranda Limmer | Nurse Anesthetist, Certified Registered | 1623 Main St, Apt. 702, Dallas, TX 75201-4740 | 2016-05-10 |
| 1942661988 | Hanan Genet Johnson | Nurse Anesthetist, Certified Registered | 5200 Harry Hinesblvd, Dallas, TX 75235 | 2016-03-18 |
| 1891166039 | Td Anesthesia Services | Nurse Anesthetist, Certified Registered | 3728 Shady Hill Dr, Dallas, TX 75229-2711 | 2015-10-14 |
| Find all providers in DALLAS | ||||
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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.