Stanley Jacobs, M.D. Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STANLEY JACOBS, M.D. INC

Practice address

145 Foss Creek Cir
Healdsburg, CA 95448-4288

Phone

(707) 473-0220

Fax

(707) 473-0990

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Evelyn Mitchell

Title

Office Manager

Phone

(707) 473-0220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1730581968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6671",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954060671",
            "telephone_number": "707-473-0220",
            "fax_number": "707-623-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FOSS CREEK CIR",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954484288",
            "telephone_number": "707-473-0220",
            "fax_number": "707-473-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY JACOBS, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-473-0220"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald D. Siegemund, M.D.
• Natasha Bettina Sill, CPNP
• Amber Snyder
• Soco Physical Therapy & Performance, P.C.
• Stanley Jacobs, M.D. Inc
• Todd Steele
• Stephen Pinsk, M.D., Inc.
• Laura Stever, RD
• Tracy Stewart, L.AC.
• Mark Henry Street, DC

• Ambulatory Surgical Clinic/Center in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.