Hal M Jacobson, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME0038736 Issued in FL

Practice address

1920 Don Wickham Dr
Suite130
Clermont, FL 34711-1918

Phone

(352) 243-9709

Fax

(352) 243-8703

NPI assigned

Aug 30, 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 2

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1669465274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864460",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328860001",
            "telephone_number": "352-243-9709",
            "fax_number": "352-243-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR",
            "address_2": "SUITE130",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111918",
            "telephone_number": "352-243-9709",
            "fax_number": "352-243-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "HAL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME0038736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068606900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE LEESBURG",
            "identifier": "110028619",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanita Jackson
• Jacob Medical Associates LLC
• Sindhu Sony Jacob, M.D.
• Joseph Jacobs, DPT, ASTRS, ACN
• Kaci Jacobs, PT
• Cara L Jakob, MD
• Paul Witold Jakubowski, D.D.S.
• Ahmad Souheil Jalloul, M.D.
• Nader Jamaleddine, MD
• Wael A Jamaleddine, M.D.

• Radiation Oncology Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.