JACOB JONES (NPI# 1912391152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912391152 |
| Entity Type | Individual |
| Full Name | JACOB JONES |
| Credential | M.D. |
| Practice Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 6173556000 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
S6219 | TX | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
274600 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1912391152 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5700 Dallas Pkwy, Frisco, TX 750349580 | 4695157222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407317464 | Jacob Michael Jones | Podiatrist | 4800 Friendship Ave # N1, Pittsburgh, PA 15224-1722 | 2019-03-30 |
| 1881136075 | Jacob Jones | Psychologist | 530 Oriole Dr, Grand Junction, CO 81507-1114 | 2016-11-05 |
| 1578018750 | Jacob Jones | Technician, Other | 291 S Elba Rd, Lapeer, MI 48446-2784 | 2016-08-17 |
| 1801172671 | Jacob Farlow Jones | Registered Nurse | 2237 Hoolaulea St, Pearl City, HI 96782-1444 | 2011-10-25 |
| 1588951271 | Jacob Jones | Podiatrist | 845 W La Veta Ave Ste 101, Orange, CA 92868-3930 | 2011-07-01 |
| 1780720201 | Jacob Michael Jones | Ophthalmology | 710 E. 24th St, Suite 304, Minneapolis, MN 55404-3846 | 2007-01-30 |
| 1750928438 | Jacob Daniel Jones | Clinical Neuropsychologist | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, CA 91730-3754 | 2019-12-02 |
| 1518529841 | Jacob Thomas Jones | Behavior Technician | 21 S Park Blvd Ste 21, Greenwood, IN 46143-8838 | 2019-07-08 |
| 1174036917 | Jacob Steven Jones | Physical Therapist | 1680 Union Ave Ste 106, Memphis, TN 38104-3768 | 2017-11-15 |
| 1174901474 | Jacob Jones | Anesthesiology | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2015-05-07 |
| Street Address |
300 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
| 1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
| 1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
| 1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
| 1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
| 1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
| 1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998896 | Kristen Maria Lambrinakos-raymond | Pediatrics | 300 Longwood Ave, Division of Sports Medicine, Boston, MA 02115-5724 | 2018-07-15 |
| 1881047983 | Hugo Paquin | Pediatrics | 300 Longwood Ave, Division of Sports Medicine, Boston, MA 02115-5724 | 2016-07-13 |
| 1467870097 | Kristin Whitney | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-04-01 |
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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.