Jacob Cherian MD LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

D50973 Issued in MD

Legal business name

JACOB CHERIAN MD LLC

Practice address

10910 Little Patuxent Pkwy
Suite 105R
Columbia, MD 21044-3078

Phone

(410) 964-5311

Fax

(410) 964-8578

NPI assigned

Jan 11, 2008

Last updated

Feb 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Cherian, M.D.NPI 1003973637

Title

Physician/Internist

Phone

(410) 964-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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.

• Jacob Cherian, M.D.

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1003973637
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1124204912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 105R",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443078",
            "telephone_number": "410-964-5311",
            "fax_number": "410-964-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 105R",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443078",
            "telephone_number": "410-964-5311",
            "fax_number": "410-964-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB CHERIAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "CHERIAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PHYSICIAN/INTERNIST",
        "authorized_official_telephone_number": "410-964-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D50973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "780011800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Jackson, MSN, APRN, FNP-C
• Stephanie Ann Jackson, PHARMD
• Toreh Alysandra Jackson, RBT
• Wendy M. Jackson, RPH
• Yvonne Jackson
• Aimee C. Jacobs, M.D.
• Atiya Jheni Jacobs, NONE
• Lindsay Jacobs, R.N.
• Cara Jacobson, PSY.D.
• Susan Jacobson, LCSW-C

• Medical Specialty Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Medical Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.