JACOB ALEXANDER (NPI# 1780003442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780003442 |
| Entity Type | Individual |
| Full Name | JACOB ALEXANDER |
| Credential | DO, MPH |
| Practice Address |
500 N. Mundo Dulce NM 87528 |
| Mailing Address |
Po Box 187 Dulce NM 87528-0187 |
| Practice Telephone | 5757593291 |
| Practice Fax Number | 5757597294 |
| Mailing Telephone | 5757593291 |
| Mailing Fax Number | 5757597294 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
DR.0057889 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29270 E Smokey Hill Road, Centennial, CO 80015 | 3036932000 | |
| 525 E Market St, Akron, OH 443041619 | 3303753107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556368 | Jacob Sidney Alexander | Student in an Organized Health Care Education/Training Program | 1663 Brightwaters Blvd Ne, St Petersburg, FL 33704-3813 | 2020-07-27 |
| 1518440411 | Jacob Michael Alexander | Military Health Care Provider | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2018-09-07 |
| 1548760481 | Jacob Alexander | Pharmacist | 5588 Little Debbie Pkwy, Ooltewah, TN 37363-4356 | 2018-02-16 |
| 1184082901 | Jacob James Alexander | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2016-02-08 |
| 1104213081 | Jacob Harrison Alexander | Internal Medicine | 1020 29th St Ste 480, Sacramento, CA 95816-5173 | 2015-04-19 |
| 1477755577 | Jacob Michael Alexander | Radiology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2007-06-01 |
| 1306907084 | Jacob Alexander | Internal Medicine | 3300 Main St, 3rd Floor A&b, Springfield, MA 01107-1112 | 2006-12-13 |
| 1558357376 | Jacob Cherukara Alexander | Internal Medicine | 1015 Duff Ave, Ames, IA 50010-3014 | 2005-09-27 |
| Street Address |
500 N. MUNDO |
| City | DULCE |
| State | NM |
| Zip Code | 87528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164917373 | Kelly Rae Pettigrew | Optometrist | 505 North Mundo, Dulce, NM 87528 | 2018-06-29 |
| 1881020089 | Jicarilla Apache Nation | Clinic/Center | 450 N Mundo Dr., Dulce, NM 87528 | 2013-09-19 |
| 1285971515 | Samuel Taylor Cropp | Pharmacist | 500 N Mundo Dr, Dulce, NM 87528 | 2013-01-07 |
| 1720331697 | Northwest Reional Education Coop #2 | Student in an Organized Health Care Education/Training Program | 91 Hawk Drive, Dulce, NM 87528 | 2012-10-17 |
| 1306116066 | Michael Shawn Kennedy | Psychologist | 113 Hawk Dr, Dulce, NM 87528 | 2012-01-11 |
| 1669762043 | Veronica A Medlin | Technician, Pathology | 1200 Stone Lake Rd, Dulce, NM 87528 | 2011-04-19 |
| 1891085262 | Stella Elizabeth Wilson | Spec/Tech, Pathology | 500 Stone Lake Road, Dulce, NM 87528 | 2011-04-19 |
| 1134419518 | Ray Morris Joe | Technician, Pathology | 500 North Mundo Road, Dulce, NM 87528 | 2011-04-19 |
| 1801186341 | Raquel Irene Cisneros | Family Medicine | 500 N. Mundo Dr., Dulce, NM 87528 | 2011-04-18 |
| 1285823435 | Karen Keating | Counselor | 26 Narrow Gauge Dr., Dulce, NM 87528 | 2007-10-23 |
| Find all providers in zip 87528 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124592761 | Asthma & Wellness Educators LLC | Preventive Medicine | 896 Cascade Rd Se, Rio Rancho, NM 87124-4332 | 2019-01-16 |
| 1205114816 | Christian Shaw | Preventive Medicine | 912 1st St Nw, Albuquerque, NM 87102 | 2011-07-31 |
| 1558651018 | Kavita Rajasekhar | Preventive Medicine | Unm Eohs, 1 Unm Msc 10-5550, Albuquerque, NM 87131-0001 | 2011-04-18 |
| 1609013259 | Halley Spencer Faust | Preventive Medicine | 1260 Vallecita Dr, Santa Fe, NM 87501-8803 | 2009-01-18 |
| 1760632061 | Michael H Trujillo | Preventive Medicine | 5400 Gibson Blvd., Se, Abq Health Partners, Albuquerque, NM 87108 | 2008-09-23 |
| 1013058353 | Jana Gunnell | Preventive Medicine | 1919 College Dr, Gallup, NM 87301-7010 | 2007-02-09 |
| 1750496402 | Beatriz Carlota Orduna-salisbury | Preventive Medicine | 438 Chacoma Pl Sw, Albuquerque, NM 87104-1405 | 2006-08-21 |
| 1508834110 | Christopher Philip Novak | Preventive Medicine | 605 Letrado St Ste D, Santa Fe, NM 87505-4146 | 2006-03-09 |
| 1144293903 | James S. Ice | Preventive Medicine | 2050 A Second St Se, Kirtland Afb, NM 87117-5522 | 2006-02-10 |
| 1376530964 | Thomas O'neal Moore | Preventive Medicine | 377 Mdg, 2050a Second St Se, Kirtland Afb, NM 87117-5522 | 2005-09-29 |
| Find all providers with the same taxonomy | ||||
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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.