Ali Ben-Jacob, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

292373-1205 Issued in UT

Practice address

1281 North 600 East
Logan, UT 84341-2443

Phone

(435) 752-5999

Fax

(435) 752-5551

NPI assigned

Jun 28, 2005

Last updated

Nov 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cache Valley Cancer Treatment &Research Clinic PC

  • Specialist
  • Logan, UT
  • NPI 1427187582
  Authorized official Same address or phone
• Utah Cancer Specialists PC

  dba Utah Cancer Specialists

  • Medical Oncology Physician
  • Salt Lake City, UT
  • NPI 1619925369

  Hematology & Oncology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1083611669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 NORTH 600 EAST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412443",
            "telephone_number": "435-752-5999",
            "fax_number": "435-752-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 NORTH 600 EAST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412443",
            "telephone_number": "435-752-5999",
            "fax_number": "435-752-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-JACOB",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "292373-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1083611669",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn A. Bell, MD
• David D. Bell, D.P.M.
• Ryan R Bell
• Conner Belnap
• Tim B Belnap, D.D.S., P.C.
• James P Benedict, MD
• Mark Andrew Benedict, DO
• Alexis Bennett, RD
• Kirany Gines Bennett
• Michelle Bennett

• Hematology & Oncology Physician in Logan, UT
• Providers in Logan, UT by specialty
• Hematology & Oncology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.