Howard Terry Jacobs, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

D28792 Issued in MD

Practice address

1838 Greene Tree Rd
Suite 350
Pikesville, MD 21208-6391

Phone

(410) 484-5686

Fax

(410) 484-6472

NPI assigned

Nov 14, 2005

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Lifebridge Community Pulmonology, LLC

  • Pulmonary Disease Physician
  • Pikesville, MD
  • NPI 1154741585
  Medicare reassignment NPD
• Doctors Jacobs, Lansing and Mishkin, PA

  • Pulmonary Disease Physician
  • Pikesville, MD
  • NPI 1053479899
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Lifebridge Community Physicians, Inc

  • Pulmonary Disease Physician
  • Pikesville, MD
  • NPI 1306182621
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1316928641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-484-5686",
            "fax_number": "410-484-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE RD",
            "address_2": "SUITE 350",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086391",
            "telephone_number": "410-484-5686",
            "fax_number": "410-484-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "HOWARD",
        "middle_name": "TERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D28792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400281400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Jackson, RN
• Kwajera Zakiyah Jackson, MSW, LCSW-C
• Montera Jackson
• Shanica Michelle Jackson
• Tayaunna Maree Jackson
• Jacquette Jacobs, LCPC
• Julie Jacobs, RN
• Stanford Bernard Jacobs
• Sophia Jafari
• Kiara Jaimes

• Pulmonary Disease Physician in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Pulmonary Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.