Jacob Joseph M.D., P.a.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

ME46458 Issued in FL

Legal business name

JACOB JOSEPH M.D., P.A.

Doing business as

Manatee Orthopaedic and Sports Medicine Clinic

Practice address

2820 Manatee Ave W
Bradenton, FL 34205-4237

Phone

(941) 746-1662

Fax

(941) 747-4394

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Joseph, M.D., P.A.

Title

Owner

Phone

(941) 746-1662

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MANATEE ORTHOPAEDIC AND SPORTS MEDICINE CLINIC Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick J Grablin, M.D.

  • Orthopaedic Surgery Physician
  • Ocala, FL
  • NPI 1699777516
  NPD (past)
• Thomas Mixa, M.D.

  • Orthopaedic Surgery Physician
  • South Pasadena, FL
  • NPI 1356309611
  NPD (past)
• Gregory K Parker, PA-C

  • Surgical Physician Assistant
  • Renton, WA
  • NPI 1285633255
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1184730962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15179",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342805179",
            "telephone_number": "941-746-1662",
            "fax_number": "941-747-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054237",
            "telephone_number": "941-746-1662",
            "fax_number": "941-747-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB JOSEPH M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-746-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME46458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40943",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANATEE ORTHOPAEDIC AND SPORTS MEDICINE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Jackson, CNM
• Joshua Jackson, PHARM.D.
• Tracy Leslie Jackson, D.M.D.
• Travis Jackson
• James Paul Jaco, M.ED.
• Aarcha Mary Jacob, APRN FNP
• Kimberly Lynn Jacobsen, MA LMHC
• Jacqueline C Ekstrom LCSW LLC
• Jason Alexandre Jaffe
• Jay Jaffe

• Sports Medicine (Orthopaedic Surgery) Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.