Jacob Aaron Allgood

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

02003048A Issued in IN

Practice address

4881 Sugar Maple Dr
88MDG/Office Symbol
Wright Patterson AFB, OH 45433-5546

Phone

(937) 257-9926

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in AZ

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.allgood.1@11818.direct.athenahealth.com

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.

• Circle the City

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1346588316

  Internal Medicine

  Medicare reassignment NPD
• Circle the City

  dba Circle the City Pharmacy

  • Community/Retail Pharmacy
  • Phoenix, AZ
  • NPI 1144093972
  NPD
• Circle the City

  dba Circle the City Family Health Center - UMOM Campus

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1447765474
  NPD

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598843708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 ARBORVIEW CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246307",
            "telephone_number": "937-212-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88MDG/OFFICE SYMBOL",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02003048A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia N Akah, PHARMD
• Hassan Al-Shammaa
• Mark Christopher Albright, CRNA
• Talib Y Ali, M.D.
• Jose Alicea la Santa, PH.D.
• Richard Allen Allnutt III, MD MPH
• Melissa Leigh Allred, DNP, MS, CNM
• Anthony Jude Almazan, M.D.
• Brett Kirk Anderson, M.D.
• Jeanette Anderson, MSN, RNC-OB, EBP-C

• Internal Medicine Physician in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.