DARYL L JACOBS (NPI# 1770686958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770686958 |
| Entity Type | Individual |
| Full Name | DARYL L JACOBS |
| Credential | MD |
| Practice Address |
222 S Woods Mill Rd Suite310n Chesterfield MO 63017-3625 |
| Practice Telephone | 3145766700 |
| Practice Fax Number | 3145766520 |
| Mailing Telephone | 3145766700 |
| Mailing Fax Number | 3145766520 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R8F53 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023021896 | Daryl Clayton Jacobs II | Physical Therapist | 8045 Spyglass Hill Rd, Suite 103, Melbourne, FL 32940-8567 | 2006-08-14 |
| Street Address |
222 S WOODS MILL RD SUITE310N |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744835 | Cordie C Coordes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 222 S Woods Mill Rd, Suite 550-n, Chesterfield, MO 63017-3625 | 2005-07-18 |
| 1629681358 | Reihaneh Chokhachi Zadeh Moghadam | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-08-24 |
| 1770193054 | Imad Karam | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-08-03 |
| 1932718210 | Manuel Fernando Sanchez | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-07-23 |
| 1942828967 | Felina Innaci Dass | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-07-07 |
| 1356968069 | Justin Michael Barnes | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-29 |
| 1063039774 | Zoe Leyh | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-29 |
| 1770100497 | Ishaan Jakhar | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-29 |
| 1376169433 | Kyle Branson | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-24 |
| 1619593779 | Ayooluwatomiwa Deborah Adekunle | Internal Medicine | 222 S Woods Mill Rd, Chesterfield, MO 63017-3625 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1942501044 | Vikram Vedprakash Agarwal | Internal Medicine | 121 Saint Lukes Center Dr Ste 303, Chesterfield, MO 63017-3519 | 2010-11-06 |
| 1407084593 | Brian Walter Kaebnick | Internal Medicine | 222 S Woods Mill Rd Ste 500n, Chesterfield, MO 63017 | 2009-06-26 |
| 1457467755 | Midwest Diagnostic Cardiology, LLC | Internal Medicine | 121 Saint Lukes Center Dr Ste 200, Chesterfield, MO 63017 | 2006-08-21 |
| 1518924513 | Glenn E. Davison | Internal Medicine | 222 S Woods Mill Rd Ste 500, Chesterfield, MO 63017-3625 | 2006-04-26 |
| 1134672587 | Chesterfield Cardiology Care, LLC | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2016-08-02 |
| 1053756296 | Heart Health Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017-3518 | 2013-05-01 |
| 1013170679 | Maryland Medical Group Ltd | Internal Medicine | 222 S Woods Mill Rd, Suite 350n, Chesterfield, MO 63017-3625 | 2008-07-03 |
| 1952522377 | Edward Joseph Hurley | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2007-05-01 |
| 1003943523 | Daniel B Bauwens | Internal Medicine | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2007-02-28 |
| 1215070560 | Department of Cardiology, LLC | Internal Medicine | 222 S Woods Mill Rd, Ste 510n, Chesterfield, MO 63017-3625 | 2007-02-15 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.