Jakob Ham

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

500 Fisher St
Biloxi, MS 39534-2502

Phone

(228) 376-3769

NPI assigned

Feb 28, 2019

Sex

Male

Sole proprietor

Yes

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 NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Yang Medical Services, PLLC

  dba Doctoroo

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1538729322
  Medicare reassignment
• Sahara West Urgent Care and Wellness LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1447702493

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1891252565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FISHER ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395342502",
            "telephone_number": "228-376-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "JAKOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felisa Jeannette Hall, MSN, APRN, FNP-C
• Karen Lee Hall, BS, MA, RN, FNP-BC
• Stephanie Leah Hall, RN, CCRN
• Elisabeth Jones Haller, MD
• Dennis Keith Halsey, MAC
• Larry Hammonds, RNFA / CNOR
• Karen Joan Hampton, LPC
• Ashley Han, OD
• Hoyet Arlon Hand, M.D.
• Hands on Therapeutic Services LLC

• Physician Assistant in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.