Mary S Jacob (NPI# 1225321755, PAC ID# 8325261043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1225321755 |
| PAC ID by PECOS | 8325261043 |
| Professional Enrollment ID | I20150810002102 |
| Full Name | Mary S Jacob |
| Organization Legal Name | EMERGENCY MEDICINE ASSOCIATES PA PC |
| Address |
7600 Carroll Ave Takoma Park MD 20912-6367 |
| Phone Number | 3018915070 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8022914522 |
| Number of Group Practice Members | 405 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210016 | ADVENTIST HEALTHCARE WASHINGTON ADVENTIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7600 Carroll Ave, Takoma Park, MD 20912-6367 | 3018915070 | EMERGENCY MEDICINE ASSOCIATES PA PC |
| Organization Legal Name | EMERGENCY MEDICINE ASSOCIATES PA PC |
| Physicians | 305 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Modarres | Hospitalist | Emergency Medicine Associates Pa PC | 200 Medical Park Blvd, Petersburg, VA 23805-9274 |
| Katherine Douglass Byrd | Emergency Medicine | Emergency Medicine Associates Pa PC | 100 Fairview Dr, Franklin, VA 23851-1238 |
| Ted Fan | Emergency Medicine | Emergency Medicine Associates Pa PC | 701 Charles St, La Plata, MD 20646-5930 |
| Pramila Jaladanki | Nurse Practitioner | Emergency Medicine Associates Pa PC | 11890 Healing Way, Silver Spring, MD 20904-7917 |
| Nicole E Cimino-fiallos | Emergency Medicine | Emergency Medicine Associates Pa PC | 18101 Prince Philip Dr, Olney, MD 20832-1514 |
| Eric J Ahlers | Emergency Medicine | Emergency Medicine Associates Pa PC | 24440 Stone Springs Blvd, Dulles, VA 20166-2247 |
| Wouhabe Bancheno | Internal Medicine | Emergency Medicine Associates Pa PC | 8118 Good Luck Rd, Lanham, MD 20706-3574 |
| Ardalan Enkeshafi | Internal Medicine | Emergency Medicine Associates Pa PC | 1850 Town Ctr Pkwy, Reston, VA 20190-3219 |
| Adrian Carlo Dews Sr. | Emergency Medicine | Emergency Medicine Associates Pa PC | 2 Bernadine Dr, Newport News, VA 23602-4404 |
| Theresa J Call | Emergency Medicine | Emergency Medicine Associates Pa PC | 1500 N 28th St, Richmond, VA 23223-5332 |
| Street Address |
7600 CARROLL AVE |
| City | TAKOMA PARK |
| State | MD |
| Zip | 20912-6367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babak Roboubi | Anesthesiology | First Colonies Anesthesia Associates, LLC | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| Adam Younoszai | Psychiatry | Adventist Physician Services Inc. | 7600 Carroll Ave, Unit 2100, Takoma Park, MD 20912-6367 |
| Sally A Salvatori | Certified Registered Nurse Anesthetist (crna) | First Colonies Anesthesia Associates, LLC | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| Michelle G Lambert | Certified Registered Nurse Anesthetist (crna) | First Colonies Anesthesia Associates, LLC | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| Alexander B Shuster | Emergency Medicine | Emergency Medicine Associates Pa PC | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| Joseph D Pate | Emergency Medicine | Emergency Medicine Associates Pa PC | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| Arshad M Sheikh | Obstetrics/gynecology | Medical Faculty Associates, Inc | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| David Nathan Greenblum | Psychiatry | Adventist Physician Services Inc. | 7600 Carroll Ave, Unit 2100, Takoma Park, MD 20912-6367 |
| Binnur Genc | Nurse Practitioner | Adventist Healthcare Urgent Care Centers Inc | 7600 Carroll Ave, Takoma Park, MD 20912-6367 |
| Sam Stanford Parsia | Internal Medicine | Adventist Physician Services Inc. | 7600 Carroll Ave, Unit 2100, Takoma Park, MD 20912-6367 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carolyn E Levy | Clinical Social Worker | Community Clinic, Inc | 7676 Hampshire Ave, Suite 220, Takoma Park, MD 20912 |
| Nan Zhai | Nurse Practitioner | Community Clinic, Inc | 7676 Hampshire Ave, Suite 220, Takoma Park, MD 20912-0000 |
| Spencer Porter | Clinical Social Worker | 7302 Birch Ave, Takoma Park, MD 20912-4256 | |
| Violeta Susan Guardado | Physical Therapy | 6935 Laurel Ave, Suite 202, Takoma Park, MD 20912-4413 | |
| Joann Zinn | Chiropractic | 7000 Carroll Ave, Takoma Park, MD 20912-4437 | |
| Patricia Frye | Pain Management | 6930 Carroll Ave, Suite 412, Takoma Park, MD 20912-4450 | |
| Simone Jacobs | Clinical Social Worker | 6930 Carroll Ave, Suite 830, Takoma Park, MD 20912-4461 | |
| Julie M Bondanza | Psychologist, Clinical | 22 Manor Cir, Apt 104, Takoma Park, MD 20912-4552 | |
| Autumn R Painter | Nurse Practitioner | Gps Physician Group, PC | 7525 Carroll Ave, Takoma Park, MD 20912-5715 |
| Deanna Schloemer | Nurse Practitioner | Gps Physician Group, PC | 7525 Carroll Ave, Takoma Park, MD 20912-5715 |
| Find all physicians in zip 20912 | |||
| City | TAKOMA PARK |
| Zip Code | 20912 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | TAKOMA PARK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mary S 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.