BENJAMIN NORMAN JACOBS (NPI# 1992066062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992066062 |
| Entity Type | Individual |
| Full Name | BENJAMIN NORMAN JACOBS |
| Credential | M.D. |
| Practice Address |
1 Medical Center Drive Vascular Surgery Lebanon NH 03756-0001 |
| Practice Telephone | 6036508193 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | R3410 | NH | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301100640 | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486339 | Benjamin Jacobs | Pharmacist | 268 S 7th St, Vinita, OK 74301-3737 | 2020-11-01 |
| 1619518164 | Benjamin Jacobs | Physical Therapist | 6590 Tryon Rd, Cary, NC 27518-7052 | 2019-10-07 |
| 1689137788 | Benjamin Johnson Jacobs | Student in an Organized Health Care Education/Training Program | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2019-04-08 |
| 1679045298 | Benjamin Jacobs | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546-5783 | 2018-12-20 |
| 1578790341 | Benjamin Jacobs | Internal Medicine | 3400 Spruce St, 16 Penn Tower, Philadelphia, PA 19104-4206 | 2009-06-18 |
| 1982846119 | Benjamin Clark Jacobs | Radiology | 1055 N 500 W, Ste 112, Provo, UT 84604-3305 | 2009-04-02 |
| 1467608208 | Benjamin J Jacobs | Orthopaedic Surgery | 200 Ne Mother Joseph Pl Ste 110, Vancouver, WA 98664-3293 | 2008-08-12 |
| 1164688115 | Benjamin Harrison Jacobs | Dentist | 10 Amsterdam Ave, Apt 406, New York, NY 10023-7464 | 2008-07-30 |
| 1235176942 | Benjamin Jacobs | Anesthesiology | 1 Industrial Blvd, Paoli, PA 19301-1601 | 2006-06-01 |
| 1093710584 | Benjamin F. Jacobs IIi | Internal Medicine | 4200 Houma Blvd, Fl 2, Metairie, LA 70006-2970 | 2005-06-20 |
| Street Address |
1 MEDICAL CENTER DRIVE VASCULAR SURGERY |
| City | LEBANON |
| State | NH |
| Zip Code | 03756-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987560 | Kimberly Ruth Haller | Nurse Practitioner | 1 Medical Center Drive, Lebanon, NH 03756 | 2020-06-25 |
| 1306409818 | Kyle Lance Holsted | Physician Assistant | 1 Medical Center Drive, Department of Surgery, Lebanon, NH 03756-0001 | 2019-04-19 |
| 1639643919 | Michael Patrick Gaffney | Physician Assistant | 1 Medical Center Drive, Dartmouth Hitchcock - Otolaryngology, Lebanon, NH 03756 | 2019-01-19 |
| 1780189134 | Hannah Louise Duane | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc-dept of Internal Medicine, Lebanon, NH 03756-1000 | 2018-03-28 |
| 1295239135 | Erica Katherine Gotow | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Dhmc Department of Psychiatry, Lebanon, NH 03756-0001 | 2018-03-23 |
| 1427597012 | Evan C Bick | Psychologist | 1 Medical Center Drive, 5d-psychiatry, Lebanon, NH 03756 | 2017-02-16 |
| 1447614391 | James Harvey Elder Iv | Student in an Organized Health Care Education/Training Program | 1 Medical Center Drive, Emergency Medicine Residency Office, Lebanon, NH 03766 | 2016-04-07 |
| 1669866596 | Elizabeth Schwartz | Psychiatry & Neurology | 1 Medical Center Drive, Psychiatry Department, Lebanon, NH 03756-1000 | 2015-03-28 |
| 1841618899 | Minda A Gowarty | Internal Medicine | 1 Medical Center Drive, Dartmouth Hitchcock - Internal Medicine, Lebanon, NH 03756 | 2014-04-06 |
| 1952747446 | Kerrilynn Carney Hennessey | Internal Medicine | 1 Medical Center Drive, Department of Cardiology, Lebanon, NH 03756 | 2013-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| Find all providers in zip 03756 | ||||
| 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 |
|---|---|---|---|---|
| 1942810254 | Sarah Brice West | Student in an Organized Health Care Education/Training Program | 34376 Bond Rd, Lebanon, OR 97355-9480 | 2020-08-03 |
| 1659990927 | Allison Marie Lane | Student in an Organized Health Care Education/Training Program | 921 Lebanon Hwy, Lebanon, TN 37087-9231 | 2020-04-15 |
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1821559386 | Anna Olds | Student in an Organized Health Care Education/Training Program | 97 Dreahook Rd, Lebanon, NJ 08833-5014 | 2019-03-27 |
| 1508324310 | Michael Joseph Hynds | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr Unit H2063, Lebanon, OR 97355-3983 | 2019-03-11 |
| 1215495296 | Stephen Klippenstein | Student in an Organized Health Care Education/Training Program | 53 E Sherman St Apt 2, Lebanon, OR 97355-3254 | 2019-03-07 |
| 1184182404 | Kathleen Y Jarman | Student in an Organized Health Care Education/Training Program | 178 E Jadon Dr, Lebanon, OR 97355-1696 | 2019-03-05 |
| 1548728025 | Conor Hegewald | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt E219, Lebanon, OR 97355-2883 | 2019-03-04 |
| 1003374588 | Nicole Kosmider | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt I334, Lebanon, OR 97355-2884 | 2019-03-04 |
| 1457815698 | Cassie Kennedy | Student in an Organized Health Care Education/Training Program | 200 Peace Ave, Lebanon, TN 37087-8626 | 2019-01-22 |
| Find all providers in LEBANON | ||||
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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.