Jay B Jacobs (NPI# 1679681209, PAC ID# 3678540697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1679681209 |
| PAC ID by PECOS | 3678540697 |
| Professional Enrollment ID | I20150709002631 |
| Full Name | Jay B Jacobs |
| Organization Legal Name | GORDON GRADO MD INC |
| Address |
2926 N Civic Ctr Plaza Southwest Oncology Centers Scottsdale AZ 85251-6902 |
| Phone Number | 4806146300 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 1964 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3971581166 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 | 4806146300 | GORDON GRADO MD INC |
| Organization Legal Name | GORDON GRADO MD INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie P Israel | Hematology/oncology | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Gordon L Grado | Radiation Oncology | Gordon Grado Md Inc | 6545 France S Ave, Suite 290, Edina, MN 55435-2119 |
| Winlove Bonpua Suasin | Radiation Oncology | Gordon Grado Md Inc | 5310 W Thunderbird Rd, 108 Southwest Oncology Centers, Glendale, AZ 85306-4709 |
| Robert C O Laughlin | Radiation Oncology | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Gayle A Roberts | Hematology/oncology | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Michael D Sapozink | Internal Medicine | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Street Address |
2926 N CIVIC CTR PLAZA SOUTHWEST ONCOLOGY CENTERS |
| City | SCOTTSDALE |
| State | AZ |
| Zip | 85251-6902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie P Israel | Hematology/oncology | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Robert C O Laughlin | Radiation Oncology | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Gayle A Roberts | Hematology/oncology | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Michael D Sapozink | Internal Medicine | Gordon Grado Md Inc | 2926 N Civic Ctr Plaza, Southwest Oncology Centers, Scottsdale, AZ 85251-6902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Roumfort | Optometry | Dr. Simon Zmyslinski and Associates, P.l.l.c. | 7014 E Camelback Rd, Suite 2000, Scottsdale, AZ 85251-1239 |
| Natasha Bhuyan | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Anais M Sonder | Internal Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Carlton A Richie Iii | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Landon S Hoecker | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Christopher James Smallwood | Nurse Practitioner | 7150 E Camelback Rd, Suite 444, Scottsdale, AZ 85251-1257 | |
| Nicholas Bhojwani | Diagnostic Radiology | Cleveland Clinic Health Services Professional Association Inc | 4848 N Goldwater Blvd, Unit 202, Scottsdale, AZ 85251-1433 |
| Sarette Zecharia | Clinical Psychologist | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
| Floyd E Trinidad | Family Practice | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
| Diana Sussman | Clinical Social Worker | 7626 E Northland Dr, Scottsdale, AZ 85251-1517 | |
| Find all physicians in zip 85251 | |||
| City | SCOTTSDALE |
| Zip Code | 85251 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SCOTTSDALE + DIAGNOSTIC RADIOLOGY |
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| 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.