JEREMY RUSSELL JACOBS (NPI# 1871947523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871947523 |
| Entity Type | Individual |
| Full Name | JEREMY RUSSELL JACOBS |
| Practice Address |
800 Rose Street Pav H Lexington KY 40536-0001 |
| Practice Telephone | 8593231144 |
| Practice Fax Number | 8593237633 |
| Mailing Telephone | (859) 323-1144 |
| Mailing Fax Number | 8593237633 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2017-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376006551 | Jeremy Warner Jacobs | Student in an Organized Health Care Education/Training Program | 1161 21st Ave South, Mcn Cc3322, Nashville, TN 37232 | 2019-04-13 |
| 1659893907 | Jeremy David Jacobs | Physical Therapy Assistant | 302 S Chestnut St, Barnesville, OH 43713-1325 | 2017-07-07 |
| 1821386384 | Jeremy Michael Jacobs | Orthopaedic Surgery | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2011-07-19 |
| 1225331531 | Jeremy Allen Jacobs | Physical Medicine & Rehabilitation | 3702 Washington St Ste 303, Hollywood, FL 33021 | 2010-12-08 |
| Street Address |
800 ROSE STREET PAV H |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40536-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801259841 | Shilpa Sachdeva Larkin | Radiology | 800 Rose Street Pav H, Lexington, KY 40536-0001 | 2016-03-29 |
| 1346776218 | Laura Downes | Internal Medicine | 800 Rose Street Pav H, Lexington, KY 40536 | 2017-05-11 |
| 1346659448 | John Demasi | Radiology | 800 Rose Street Pav H, Lexington, KY 40536-0001 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790394583 | Mary Luz Calderon | Physician Assistant | Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 | 2020-07-28 |
| 1598389421 | Storm Bryant Dutton | Physician Assistant | Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 | 2020-06-06 |
| 1720601545 | Tyler Allen Pape | Physician Assistant | Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 | 2020-05-27 |
| 1417579269 | Kacy Clinkenbeard | Physician Assistant | Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 | 2020-05-15 |
| 1023578804 | William Chalmers Ruffin | Student in an Organized Health Care Education/Training Program | 740 South Limestone St. E300e, Lexington, KY 40536 | 2019-03-20 |
| 1942705728 | Karah Lee Ellen Brown | Dentist | 800 Rose Street, Room D-508, Lexington, KY 40536 | 2018-03-26 |
| 1982109708 | Khader Samir Habash | Dentist | 740 S Limestone Room A262, Lexington, KY 40536 | 2018-03-25 |
| 1609370683 | Casey Michael Fitzgerald | Otolaryngology | 740 South Limestone Ears Nose and Throat Clinic, Lexington, KY 40536 | 2018-03-22 |
| 1538663992 | Heather Oaks | Nurse Practitioner | Uk Gill Heart Institute 800 Rose St, Lexington, KY 40536 | 2018-03-21 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| Find all providers in zip 40536 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117265 | Andrew Lanham | Student in an Organized Health Care Education/Training Program | 138 York St, Lexington, KY 40508-1879 | 2020-09-03 |
| 1780209429 | Hayley Elizabeth Webber | Student in an Organized Health Care Education/Training Program | 2151 Meeting St Apt 4210, Lexington, KY 40509-4646 | 2020-06-09 |
| 1568081974 | Nicole Marie Hall | Student in an Organized Health Care Education/Training Program | 374 Preston Ave, Lexington, KY 40502-1532 | 2020-04-15 |
| 1720607633 | Abigail Clark | Student in an Organized Health Care Education/Training Program | 800 Rose St Ste C-246, Lexington, KY 40536-0293 | 2020-04-10 |
| 1225657471 | Gabriella M Velonias | Student in an Organized Health Care Education/Training Program | 2261 Massachusetts Ave, Lexington, MA 02421-6712 | 2020-04-08 |
| 1811526866 | Evan Brady Lynch | Student in an Organized Health Care Education/Training Program | 740 South Limestone St Suite K454, Lexington, KY 40536-0293 | 2020-04-02 |
| 1982232237 | Brian Patrick Kinealy | Student in an Organized Health Care Education/Training Program | Uk Medical Center 800 Rose Street Room C-236, Lexington, KY 40536-0001 | 2020-03-31 |
| 1134757651 | Leonard Nsoyori Yenwongfai | Student in an Organized Health Care Education/Training Program | 800 Rose St Rm Ms -117, Lexington, KY 40536-0293 | 2020-03-30 |
| 1427686054 | James Hallahan | Student in an Organized Health Care Education/Training Program | 800 Rose St Pavillion H, Lexington, KY 40536-0001 | 2020-03-30 |
| 1285262824 | Ivan Huynh | Student in an Organized Health Care Education/Training Program | 740 South Limestone A219, Lexington, KY 40536-0001 | 2020-03-30 |
| Find all providers in LEXINGTON | ||||
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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.