BLESSY MATHEW JACOB (NPI# 1851525406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851525406 |
| Entity Type | Individual |
| Full Name | BLESSY MATHEW JACOB |
| Credential | M.D. |
| Practice Address |
714 Doctors Dr Englewood FL 34223 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 9414601300 |
| Mailing Telephone | 2394328500 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME113758 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295268407 | Blessy Jacob | Student in an Organized Health Care Education/Training Program | 624 E Front Ave, Spokane, WA 99202-2139 | 2017-04-05 |
| 1164862066 | Blessy A Jacob | Pharmacist | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2013-06-25 |
| 1831499029 | Blessy S Jacob | Nurse Practitioner | 12108 Galleon Point Dr, Pearland, TX 77584-1645 | 2010-10-22 |
| Street Address |
714 DOCTORS DR |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295774784 | Joyce A Jackowski | Nurse Practitioner | 714 Doctors Dr, Englewood, FL 34223-3992 | 2006-06-06 |
| 1568024537 | Amanda Marie Crosson | Nurse Practitioner | 714 Doctors Dr, Englewood, FL 34223-3992 | 2019-07-01 |
| 1326484536 | Kristen Michelle Gonter-aubin | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223-3992 | 2013-05-14 |
| 1154512705 | Mehnaz A Junagadhwalla | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223-3992 | 2007-08-08 |
| 1164588695 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 714 Doctors Dr, Englewood, FL 34223-3992 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| Find all providers in zip 34223 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760814644 | Cccric LLC | Internal Medicine | 799 E Hampden Ave Ste 500, Englewood, CO 80113-2777 | 2013-08-02 |
| 1205030764 | Mohan S Khurana Md Pa | Internal Medicine | 130 S Indiana Ave Ste A, Englewood, FL 34223-3301 | 2007-06-11 |
| 1376597260 | Raul Alvarez | Internal Medicine | 3601 S Clarkson St Ste 520, Englewood, CO 80113-3949 | 2006-05-22 |
| 1316920093 | Mohan Singh Khurana | Internal Medicine | 130 S Indiana Ave, Englewood, FL 34223-3301 | 2005-11-27 |
| 1972739308 | Maxwell Janosky | Internal Medicine | 350 Engle St, Berrie Bldg Floor 1, Englewood, NJ 07631-1808 | 2009-05-29 |
| 1235289554 | Colorado Cancer Care LLC | Internal Medicine | 3601 S Clarkson St Ste 520, Englewood, CO 80113-3949 | 2007-01-11 |
| 1487760930 | Minaxi Jhawer | Internal Medicine | 350 Engle St, Berrie Building, 1st Floor, Englewood, NJ 07631-1808 | 2006-08-21 |
| 1225057631 | David Reid Trevarthen | Internal Medicine | 799 E Hampden Ave, Suite 500, Englewood, CO 80113-2700 | 2006-07-18 |
| 1023057148 | Howard M Gross | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-06-05 |
| 1851348841 | Tarek M Sabagh | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-05-27 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on BLESSY MATHEW JACOB.
| 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.