RUSSELL STEVEN JACOBUS (NPI# 1841326287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841326287 |
| Entity Type | Individual |
| Full Name | RUSSELL STEVEN JACOBUS |
| Credential | RT(ARRT) |
| Practice Address |
1127 Old Rd Chapin SC 29036-8512 |
| Practice Telephone | 8037710070 |
| Practice Fax Number | 8037810077 |
| Mailing Telephone | 8037710070 |
| Mailing Fax Number | 8037810077 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 498018 | 05 |
| Street Address |
1127 OLD RD |
| City | CHAPIN |
| State | SC |
| Zip Code | 29036-8512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619158862 | Mobile Medical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1127 Old Rd, Chapin, SC 29036-8512 | 2007-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381291 | Palmetto Bone and Joint | Pain Medicine | 104 Ellett Road, Chapin, SC 29036 | 2019-08-15 |
| 1578028270 | Chapin Smiles Dentistry, PC | Dentist | 1221 Chapin Rd., Suite A, Chapin, SC 29036 | 2019-02-06 |
| 1467934810 | Cornerstone Alliance, LLC | Pharmacy | 105 Snapdragon Court Suite A, Chapin, SC 29036 | 2018-09-02 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1861892077 | Whitney Crowley | Pharmacist | 1419 Chapin Rd, Chapin, SC 29036 | 2014-08-26 |
| 1417370180 | Backdoc, LLC | Chiropractor | 510 Columbia Avenue, Chapin, SC 29036 | 2014-01-30 |
| 1720425895 | Amanda C Harrington | Registered Nurse | 11629 Broad River Road, Chapin, SC 29036 | 2013-05-30 |
| 1396064382 | Palmetto Pediatric Ot, LLC | Clinic/Center | 2427 Old Lexington Highway, Chapin, SC 29036 | 2010-05-31 |
| 1801036959 | Nelson Chiropractic Care LLC. | Preferred Provider Organization | 1402 Chapin Rd., Chapin, SC 29036 | 2009-03-03 |
| 1700044658 | Dieter Karl Bartschat | Psychiatry & Neurology | 863 Willow Cove Rd, Chapin, SC 29036 | 2008-05-28 |
| Find all providers in zip 29036 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043306053 | Charles S Garwood | Radiologic Technologist | 196 Tradd St, Medical, Charleston, SC 29401-1800 | 2006-10-05 |
| 1861597569 | James Howard Moon | Radiologic Technologist | 210 W Stone Ave, Greenville, SC 29609-5452 | 2006-09-14 |
| 1205090511 | Harriet Huggins | Radiologic Technologist | 109 Bee St, Charleston, SC 29401-5703 | 2008-07-16 |
Please comment or provide details below to improve the information on RUSSELL STEVEN JACOBUS.
| 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.