Active NPI
R. Daniel Jacob, M.D.,a.P.M.C.
- Otolaryngology Physician
- Metairie, LA
National Provider Identifier
1063661718
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
- 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
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 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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.