Active NPI
R. Daniel Jacob, M.D.,a.P.M.C.
- Otolaryngology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD.012606
- Legal business name
- R. DANIEL JACOB, M.D.,A.P.M.C.
- Practice address
- 4228 Houma Blvd
Suite 340
Metairie, LA 70006-3000 - Phone
- (504) 454-3611
- Fax
- (504) 888-9452
- NPI assigned
- Sep 17, 2008
- Last updated
- Jan 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rudolph Daniel Jacob, M.D.
- Title
- President
- Phone
- (504) 454-3611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD.012606 | LA | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | MD.012606 | LA | |
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | MD.012606 | LA | |
| Facial Plastic Surgery Physician | 207YS0123X | MD.012606 | LA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | MD.012606 | LA | |
| Otolaryngic Allergy Physician | 207YX0602X | MD.012606 | LA | |
| Otology & Neurotology Physician | 207YX0901X | MD.012606 | LA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD.012606 | LA |
Addresses
Primary practice location
4228 Houma Blvd
Suite 340
Metairie, LA 70006-3000
Mailing address
351 Vincent Ave
Metairie, LA 70005-4419
Phone (504) 454-3611
National Provider Directory
National Provider DirectoryLocations
4228 Houma Blvd
Ste 340
Metairie, LA 70006
Phone (504) 454-3611
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Metairie, LA
- NPI 1760452270
-
- Pediatric Otolaryngology Physician
- Metairie, LA
- NPI 1396705497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233014400000",
"number": "1063661718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 VINCENT AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700054419",
"telephone_number": "504-454-3611",
"fax_number": "504-888-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4228 HOUMA BLVD",
"address_2": "SUITE 340",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700063000",
"telephone_number": "504-454-3611",
"fax_number": "504-888-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R. DANIEL JACOB, M.D.,A.P.M.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-17",
"last_updated": "2009-01-27",
"status": "A",
"authorized_official_last_name": "JACOB",
"authorized_official_first_name": "RUDOLPH",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-454-3611",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "LA",
"license": "MD.012606",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "LA",
"license": "MD.012606",
"primary": false
},
{
"code": "207YS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Sleep Medicine",
"state": "LA",
"license": "MD.012606",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "LA",
"license": "MD.012606",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "LA",
"license": "MD.012606",
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "LA",
"license": "MD.012606",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "LA",
"license": "MD.012606",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "LA",
"license": "MD.012606",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.