Lois J Jacobs MD PHD S C

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

30302 Issued in WI

Legal business name

LOIS J JACOBS MD PHD S C

Practice address

1510 Arboretum Dr
Oshkosh, WI 54901-2790

Phone

(920) 231-5313

Fax

(920) 231-5348

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lois J Jacobs, MD, PHD

Title

President

Phone

(920) 231-5313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey W Glassheim, DO

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1174685721
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1982887253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 ARBORETUM DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012790",
            "telephone_number": "920-231-5313",
            "fax_number": "920-231-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 ARBORETUM DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012790",
            "telephone_number": "920-231-5313",
            "fax_number": "920-231-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIS J JACOBS MD PHD S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-231-5313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WI",
            "license": "30302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31609600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Lippold, RN
• Lauren M Littlefield, M.D.
• Lindsay R Locklar, CNM
• Trisha Loehrke, NP
• Faith Lohry-Jarvenpaa
• Talya Loken
• Ellen M Loker, RN
• Georgette Long, RN
• Gregory Long, MD
• Jennifer Long, LCSW

• Medical Specialty Clinic/Center in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Medical Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.