Joseph R Jacob (NPI# 1134446891, PAC ID# 5890927701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1134446891 |
| PAC ID by PECOS | 5890927701 |
| Professional Enrollment ID | I20150716000778 |
| Full Name | Joseph R Jacob |
| Organization Legal Name | SOUTHERN UTAH EAR NOSE AND THROAT LLC |
| Address |
617 E Riverside Dr Suite 201 St George UT 84790-8049 |
| Phone Number | 4356283334 |
| Gender | M |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 2010 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4082772777 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460021 | DIXIE REGIONAL MEDICAL CENTER |
| 291307 | MESA VIEW REGIONAL HOSPITAL |
| 460007 | CEDAR CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 | 4356283334 | SOUTHERN UTAH EAR NOSE AND THROAT LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 57% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 94% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 8% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 36% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_047_overall | Care Plan | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 78% |
| Organization Legal Name | SOUTHERN UTAH EAR NOSE AND THROAT LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew H Vaughan | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| George P Doxey | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Michael Watts | Physician Assistant | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Rocky A Lipsman | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Wendy Lyn Utley | Nurse Practitioner | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Steven P Chase | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Steven Lewis | Qualified Audiologist | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Kent E Gardner | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Street Address |
617 E RIVERSIDE DR SUITE 201 |
| City | ST GEORGE |
| State | UT |
| Zip | 84790-8049 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Spencer George Wells | Pain Management | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Melissa J Hinton | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Joanne Abegglen | Nurse Practitioner | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Sherine Smith | Physician Assistant | St George Eye Center LLC | 617 E Riverside Dr, Suite 101, St George, UT 84790-8049 |
| Andrew H Vaughan | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Joseph C Empey | Anesthesiology | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Heather A Smith | Qualified Audiologist | Audiology Management LLC | 617 E Riverside Dr, Apt 102, St George, UT 84790-8720 |
| Nicholas L Behunin | Ophthalmology | St George Eye Center LLC | 617 E Riverside Dr, Suite 101, St George, UT 84790-8049 |
| George P Doxey | Otolaryngology | Southern Utah Ear Nose and Throat LLC | 617 E Riverside Dr, Suite 201, St George, UT 84790-8049 |
| Cortney A Bernardo | Physician Assistant | Desert Pain Specialists LLC | 617 E Riverside Dr, Suite 301, Saint George, UT 84790-8722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith S Sampson | Nurse Practitioner | Ihc Health Services Inc | 652 S Medical Ctr Dr, 320 Sw Neurololgy Assoc, St George, UT 84790 |
| Joseph Aaron Smith | Optometry | 599 S Mall Dr, Spc K1, St George, UT 84790-1258 | |
| Andrew P White | Chiropractic | 435 N 1680 E, 6 Innova Pain Clinic, St George, UT 84790-1448 | |
| Bruce C Solomon | Clinical Social Worker | 2298 E 200, St George, UT 84790-1603 | |
| Justin W Salmon | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Brian T Richey | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Torrence Brock Kesterson | Chiropractic | Stoneridge Chiropractic | 107 S 1470 E, 102 Stoneridge Chiro LLC, Saint George, UT 84790-1747 |
| Joshua L Frame | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, Suite 100, St George, UT 84790-1764 |
| Jason C Swigert | Internal Medicine | Southwest Internal Medicine, P. C. | 292 S 1470, St George, UT 84790-1764 |
| Grace J Paradela | Internal Medicine | Grace Paradela Md PC | 292 S 1470, Suite 200, St George, UT 84790-1764 |
| Find all physicians in zip 84790 | |||
| City | ST GEORGE |
| Zip Code | 84790 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ST GEORGE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Joseph R 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.