Shibin T Jacob (NPI# 1003867839, PAC ID# 3476691197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1003867839 |
| PAC ID by PECOS | 3476691197 |
| Professional Enrollment ID | I20091117000308 |
| Full Name | Shibin T Jacob |
| Organization Legal Name | CAROLINAS MEDICAL CENTER |
| Address |
1000 Blythe Blvd Charlotte NC 28203-5812 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE |
| Group Practice PAC ID | 4789597477 |
| Number of Group Practice Members | 690 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 1000 Blythe Blvd, Charlotte, NC 28203-5812 | CAROLINAS MEDICAL CENTER | |
| 101 E W T Harris Blvd, 5101 Bldg 5000, Charlotte, NC 28262-3581 | 7048635847 | CAROLINAS MEDICAL CENTER |
| 2001 Vail Ave, Charlotte, NC 28207-1248 | 7043045000 | CAROLINAS MEDICAL CENTER |
| 8800 N Tryon St, Charlotte, NC 28262-3300 | 7048636000 | CAROLINAS MEDICAL CENTER |
| Organization Legal Name | CAROLINAS MEDICAL CENTER |
| Physicians | 670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasser Saba | Neurology | Carolinas Medical Center | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 |
| Lynneice L Bowen | Psychiatry | Carolinas Medical Center | 16740 Davidson Concord Rd, Suite 200, Davidson, NC 28036-8746 |
| Hristos C Karanikas | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Mary Carnes Devane | Internal Medicine | Carolinas Medical Center | 1350 S Kings Dr, Charlotte, NC 28207-2134 |
| Kristina Jasmin Harrell | Pediatric Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Lydia M E Calamari | Internal Medicine | Carolinas Medical Center | 400 E Morehead St, Suite 202, Charlotte, NC 28202-2610 |
| Laurence B Kempton | Orthopedic Surgery | Carolinas Medical Center | 1025 Morehead Medical Dr, Suite 275a, Charlotte, NC 28204-2963 |
| Amanda H Goodwin | Clinical Social Worker | Carolinas Medical Center | 501 Billingsley Rd B, Charlotte, NC 28211-1009 |
| Rodney A Villanueva | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd A, Charlotte, NC 28211-1009 |
| Mark J Makhuli | Urology | Carolinas Medical Center | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 |
| Street Address |
1000 BLYTHE BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip | 28203-5812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Jasmin Harrell | Pediatric Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Amanda M Sebring | Pediatric Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| William N Lane Jr. | Critical Care (intensivists) | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Jackie A Lucas | Obstetrics/gynecology | Eastover Obstetrics and Gynecology Associates Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Lynn A Boardman | Obstetrics/gynecology | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Kevin R Kasten | Colorectal Surgery (proctology) | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Shakuntala Mathapati | Hospitalist | Carolinas Physicians Network Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Nilesh Kantilal Patel | Emergency Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Walker David Brooks | Hospitalist | Carolinas Physicians Network Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Alison Anne Woodruff | Certified Registered Nurse Anesthetist (crna) | Chs Anesthesia Services Group Inc | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline Kaleel Fogleman | Optometry | Innovative Eye Care Od Pllc | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 |
| Michelle Mumford | Optometry | Innovative Eye Care Od Pllc | 1710 Kenilworth Ave, Suite 210, Charlotte, NC 28203-0008 |
| Paula R Newsome | Optometry | 1016 S Church St, Charlotte, NC 28203-4002 | |
| Michael D Baldinger | Optometry | Eyecarecenter Od Pa | 1208 S Blvd, Charlotte, NC 28203-4208 |
| Jessica Lauren Del Vecchio | Nurse Practitioner | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
| Mary Shirley Desormes | Physician Assistant | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
| Lauren S Kauer | Physician Assistant | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
| Richard L Elsey Ii | Family Medicine | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
| Perry J Depietro | Family Medicine | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
| Ikechi Dike | Nurse Practitioner | American Current Care of North Carolina PC | 1614 S Blvd, Charlotte, NC 28203-4726 |
| Find all physicians in zip 28203 | |||
| City | CHARLOTTE |
| Zip Code | 28203 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | CHARLOTTE + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Shibin T Jacob.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.