Eugene E Jacob MD PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

23227 Issued in KY

Legal business name

EUGENE E JACOB MD PLLC

Practice address

1023 New Moody LN
Ste 102
Lagrange, KY 40031-9177

Phone

(502) 222-0598

Fax

(502) 222-7446

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugene E Jacob, M.D.NPI 1578587424

Title

Owner

Phone

(502) 222-0598

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene E Jacob, M.D.

  • Orthopaedic Surgery Physician
  • La Grange, KY
  • NPI 1578587424
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740367416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN",
            "address_2": "STE 102",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400319177",
            "telephone_number": "502-222-0598",
            "fax_number": "502-222-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 NEW MOODY LN",
            "address_2": "STE 102",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "400319177",
            "telephone_number": "502-222-0598",
            "fax_number": "502-222-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE E JACOB MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-222-0598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "23227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Theresa Engelhardt, M.D.
• Engileman Orthodontics
• Engilman Orthodontics - Lagrange (Braces Braces Braces)
• Morgan Epperson, M.S. CCC/SLP
• Madison Grace Estes, PHARMD
• Colby Slone Euton, OTR/L
• Trevor James Evans
• Margaret Ruth Favata, LPCC
• Debbie A Feemster, CRNA
• Heather Ferrell, PMHNP-BC

• Orthopaedic Surgery Physician in La Grange, KY
• Providers in La Grange, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.