Alan K Jacobs, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35046148 Issued in OH

Practice address

1 Elizabeth PL
Suite 210 West Medical Plaza
Dayton, OH 45417-3445

Phone

(937) 495-0000

Fax

(937) 495-0140

NPI assigned

Sep 6, 2006

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

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1245333186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 210 WEST MEDICAL PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-495-0000",
            "fax_number": "937-495-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 210 WEST MEDICAL PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-495-0000",
            "fax_number": "937-495-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ALAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35046148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499910",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antony Thekkumpuram Jacob, MD
• Celine Jacob, D.O.
• David Andrew Jacob, PHARMD
• Melinda Beth Jacob, COTA
• Raseena Jacob
• Barbara S. Jacobs, RD, LD
• Bradley S Jacobs, MD
• Donna M Jacobs
• Emily Jacobs, APRN, FNP-BC
• Keaplish Danell Jacobs, STNA

• Neurology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.