SUSAN BIJI JACOB


Address: 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104
Phone: 4054228800

SUSAN BIJI JACOB (NPI# 1801134390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801134390
Entity Type Individual
Full Name SUSAN BIJI JACOB
Credential APRN
Practice Address 4400 N Lincoln Blvd
Oklahoma City
OK 73105-5104
Mailing Address 114 W Delaware Ave
Nowata
OK 74048-2601
Practice Telephone 4054228800
Mailing Telephone 9182731841
Mailing Fax Number 9182731843
Enumeration Date 2013-01-18
Last Update Date 2019-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
70896 OK Physician Assistants & Advanced Practice Nursing Providers

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1821468257 Susan Jacob Nurse Practitioner 212 Angela Ln, Stafford, TX 77477 2015-09-28
1699865881 Susan C Jacob Allergy & Immunology 801 Alma St, Tomball, TX 77375 2006-10-16
1245246503 Susan M. Jacob Counselor 1101 Dove St, Suite 160, Newport Beach, CA 92660-2839 2006-07-31
1356964431 Susan Jacob Student in an Organized Health Care Education/Training Program 3459 5th Ave Ste 9, Pittsburgh, PA 15213-3236 2020-05-22
1306315130 Susan Jacob Nurse Practitioner 1380 River Bend Dr, Dallas, TX 75247-4914 2018-11-22
1487991246 Susan Jacob Pharmacist 5473 Nw Saint James Dr, Port Saint Lucie, FL 34983-3444 2013-01-12
1467675819 Susan Vivian Jacob Psychologist 14 Vanderventer Ave, Port Washington, NY 11050-3737 2007-04-11
1568685436 Susan Jacob Nurse Practitioner 710 W 168th Street, New York, NY 10032-2699 2007-04-10
1538207220 Susan Jacob Family Medicine 231 Albert Sabin Way, Cincinnati, OH 45267-2827 2007-02-02
1508951872 Susan Jacob Family Medicine 55 Brendon Way, Suite 100, Zionsville, IN 46077-1955 2006-10-04

Office Location

Street Address 4400 N LINCOLN BLVD
City OKLAHOMA CITY
State OK
Zip Code 73105-5104

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750359311 Vincel Ray Cordry Jr. Psychiatry & Neurology 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 2006-03-09
1437759271 Caroline Bothroyd Case Manager/Care Coordinator 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 2020-10-30
1982202701 Megan Croisant Case Manager/Care Coordinator 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 2020-10-14
1871191908 Mackenzie Rae Davis Case Manager/Care Coordinator 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 2020-10-12
1174121453 Mariah Ivette Huston Community Health Worker 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 2020-10-09
1669089447 German Gallardo Case Manager/Care Coordinator 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 2020-09-25
1316552631 Bryce Aaron Tucker Peer Specialist 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 2020-09-14
1053926469 Amber Nichole Butler Community Health Worker 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 2020-09-11
1114530086 Stephanie Michelle Sanderson Peer Specialist 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 2020-08-28
1124630389 Tammy Jo Brooks Behavior Technician 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5108 2020-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730795253 Darrell Lynn Nowlin Student in an Organized Health Care Education/Training Program 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 2020-09-21
1104468834 Inas Z. Yacoub Pathology 921 N.e. 23rd St., Okc, OK 73105 2019-10-15
1861988495 Grant Weirich Registered Nurse 4420 N Lincoln, Oklahoma City, OK 73105 2018-07-06
1073043865 Joseph W Lee I Case Manager/Care Coordinator 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 2017-06-14
1356886840 Melissa Thompson Counselor 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 2016-12-20
1285093484 Dianne Gray Student in an Organized Health Care Education/Training Program 440- N. Lincoln Blvd, Oklahoma City, OK 73105 2016-02-16
1124392600 Ricki Kelley Counselor 330 Ne 59th St., Oklahoma City, OK 73105 2012-03-01
1962770727 Lakisha Murray Counselor 4400 N Lincoln, Oklahoma City, OK 73105 2011-12-08
1760700827 Deborah Proctor Counselor 321 North East 28th, Suite #101, Oklahoma City, OK 73105 2010-05-13
1548588791 Raganda Washington Counselor 321 N.e. 28th, Suite 101, Okc, OK 73105 2010-05-12
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801418991 Brooke Elizabeth Young Nurse Practitioner 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 2020-05-11
1790315729 Robin Annette Dockins Nurse Practitioner 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 2020-01-17
1194283424 Nancy Ann Owens Nurse Practitioner 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 2019-03-05
1487125282 Michael Scott Eskew Nurse Practitioner 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 2018-12-06
1477922441 Nissy Philip Nurse Practitioner 3366 Nw Expwy, Suit 550, Oklahoma City, OK 73112-4462 2015-09-21
1750766911 Asha Joseph Nurse Practitioner 711 Sl Young Blvd Ste 430, Oklahoma City, OK 73104-5022 2015-07-29
1467899724 Sukcha Maudie Nurse Practitioner 215 Nw 16th St, Oklahoma City, OK 73103-3408 2013-05-28
1700989316 Misty Dawn Dean Nurse Practitioner 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112-4416 2006-09-07
1083630115 Terry L Green Nurse Practitioner 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 2006-07-14
1639166499 Shannon L Johnson Nurse Practitioner 1600 Sw 119th St, Oklahoma City, OK 73170-4908 2005-10-05
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Competitor

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City OKLAHOMA CITY
Zip Code 73105

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Dataset Information

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.

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