Active NPI
Jacob Dagani, M. D.
- Obstetrics & Gynecology Physician
- Viera, FL
National Provider Identifier
1740283290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- LL854
- Practice address
- 2555 Judge Fran Jamieson Way
Viera, FL 32940-5998 - Phone
- (321) 639-5813
- NPI assigned
- May 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35.063339 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | LL854 | FL | Primary |
Addresses
Primary practice location
2555 Judge Fran Jamieson Way
Viera, FL 32940-5998
Mailing address
1438 Patriot Dr
Melbourne, FL 32940-6818
Phone (419) 231-3128
Other practice location 1
301 W Wallace St
Findlay, OH 45840-1241
Phone (419) 424-0180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL854 | FL | MD | Obstetrics & Gynecology Physician |
| 35.063339 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Jacob Dagani, M.D. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Bluffton, OH
- NPI 1568465011
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1740283290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 PATRIOT DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329406818",
"telephone_number": "419-231-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 JUDGE FRAN JAMIESON WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329405998",
"telephone_number": "321-639-5813"
}
],
"practiceLocations": [
{
"address_1": "301 W Wallace St",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458401241",
"country_code": "US",
"telephone_number": "419-424-0180",
"fax_number": "419-424-0257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAGANI",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-28",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.063339",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "LL854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.