DR. JEFFREY R JACOBSEN (NPI# 1881854107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881854107 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY R JACOBSEN |
| Credential | MD |
| Practice Address |
1919 E Thomas Rd Phoenix AZ 85016-7710 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2327 |
| Practice Telephone | 6029331283 |
| Practice Fax Number | 6029331284 |
| Mailing Telephone | 6029331813 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
47301 | AZ | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
6099496-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710349865 | Jeffrey Jacobsen | Driver | 1007 Chamberlin Hill Rd Ext, West Sand Lake, NY 12196-2818 | 2016-03-27 |
| Street Address |
1919 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162953 | Richard N Southard | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2005-05-31 |
| 1265049472 | Chelsea Agricola | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-30 |
| 1871109686 | Madeline Rose Mcnamee | Audiologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-17 |
| 1699380212 | Lindsey N Manz | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-10 |
| 1376156331 | Jena Paige Buck | Occupational Therapist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1386257244 | Alia Torfa | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1336751999 | Cassandra E Martinez | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-17 |
| 1811508708 | Clara A Hart | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-13 |
| 1811505571 | Daniela M Giralt | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-20 |
| 1902424179 | Soren B Mickelsen | Speech-Language Pathologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578764999 | Ranjitha Veerappan | Pathology | 4207 E Cotton Center Blvd Bldg 10, Phoenix, AZ 85040-8893 | 2007-05-31 |
| 1912976770 | Michael Lawrence Miller | Pathology | 4207 E Cotton Center Blvd # Cc10, Phoenix, AZ 85040-8893 | 2006-03-15 |
| 1558507467 | Agatha Michaela Bogard | Pathology | 4207 E Cotton Center Blvd # Cc10, Phoenix, AZ 85040-8893 | 2008-12-23 |
| 1225224819 | Viera Nelson | Pathology | 4207 E Cotton Center Blvd., Building 10, Phoenix, AZ 85040 | 2007-09-18 |
| 1942278601 | Daniel A. Cherry | Pathology | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2006-03-09 |
| 1265412670 | James D Cason | Pathology | 424 S 56th St Ste 120, Phoenix, AZ 85034-2177 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952677866 | Amy L Jencks | Pathology | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2012-03-25 |
| 1962645986 | Nichole Lee Steidler | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2009-04-07 |
| 1023256997 | Sabine Pargman | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2009-01-29 |
| 1134324833 | Cory R Fraser | Pathology | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2007-06-20 |
| 1851515605 | Deborah S. Gelbspan | Pathology | 5422 W Thunderbird Rd, Suite 13, Glendale, AZ 85306-4700 | 2007-04-12 |
| 1407978646 | Katalin Kelemen | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2007-04-06 |
| 1871631002 | Sameer S Talwalkar | Pathology | 1255 W Washington St, Tempe, AZ 85281-1210 | 2007-02-01 |
| 1477623023 | Lisa M Rimsza | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2006-11-09 |
| 1497765291 | Ryan Robetorye | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2006-08-08 |
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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.