Overview
Micah A Jacobs is a Urology Physician practicing in Dallas, Texas. The National Provider Identifier (NPI) is #1639118631, which was assigned on June 5, 2006, and the registration record was last updated on July 6, 2011. The practitioner's main practice location is at 5323 Harry Hines Blvd, Dallas, TX 75390-7208; the contact telephone number is 2144567255. The primary taxonomy of Micah A Jacobs is Urology Physician (208800000X). Micah A Jacobs is licensed to practice in the state of Massachusetts (#226084).
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Provider Information
| NPI | 1639118631 |
| Entity Type | Individual |
| Provider Name | MICAH A JACOBS |
| Gender | Male |
| Credential | M.D. |
| Practice Address | 5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Practice Telephone | 2144567255 |
| Mailing Address | Po Box 845347 Dallas TX 75284-5347 |
| Mailing Telephone | 2144567255 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2011-07-06 |
| Is Sole Proprietor | Y |
Doctor and Clinician Information
| PAC ID | 4789735242Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MICAH A JACOBS |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Primary Specialty | UROLOGY |
| Organization Legal Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER |
| Address | 1935 Medical District Dr Dallas TX 75235-7701 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 208800000X | Urology | 226084 | MA |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| N9074 | TX | TEXAS MEDICAL BOARD | Other |
Taxonomy Information
Primary Taxonomy
| Code | 208800000X |
| Taxonomy | Urology Physician |
| Classification | Urology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Goshen Health System, Inc | 1615 Winsted Dr Ste 4, Goshen, IN 46526-4673 | Urology Physician | 2024-06-06 |
| Portercare Adventist Health System | 9399 Crown Crest Blvd Ste 240, Parker, CO 80138-8571 | Urology Physician | 2024-06-25 |
| Portercare Adventist Health System | 2777 Mile High Stadium Cir, Denver, CO 80211-5222 | Urology Physician | 2024-06-28 |
| Jada Kapoor | 1275 York Ave, New York, NY 10065-6007 | Urology Physician | 2024-07-05 |
| Shane Maxwell Davis | 1725 W Harrison St Ste 970, Chicago, IL 60612-3828 | Urology Physician | 2024-06-17 |
| Ryan Trippel | 1 Hospital Dr # Mc301, Columbia, MO 65212-1000 | Urology Physician | 2024-06-27 |
| Rohan Morenas | 1750 W Harrison St Ste 770, Chicago, IL 60612-3825 | Urology Physician | 2024-06-25 |
| South Texas Urology Group, PLLC | 2833 Babco*ck Rd Ste 212, San Antonio, TX 78229-4894 | Urology Physician | 2024-06-24 |
| Portercare Adventist Health System | 9695 S Yosemite St Ste 359, Lone Tree, CO 80124-2888 | Urology Physician | 2024-06-28 |
| Meira Hollander | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | Urology Physician | 2024-06-26 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Manya Iyer | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | Student in an Organized Health Care Education/Training Program | 2024-06-24 |
| Aanika Kashyap | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2024-07-03 |
| Julia Mitterer-Claudet | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | Student in an Organized Health Care Education/Training Program | 2024-06-24 |
| Thomas Fong | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | Student in an Organized Health Care Education/Training Program | 2024-07-01 |
| Grace Xinyi Li | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2024-06-24 |
| Swathisri Ravi | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2024-06-24 |
| Madhusudan Venkata Reddy | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2024-06-25 |
| Mekdes Aschalew Abera | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | Student in an Organized Health Care Education/Training Program | 2024-07-05 |
| Sarah Cunningham | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | Student in an Organized Health Care Education/Training Program | 2024-06-24 |
| William Chesterman Chinchankar | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | Student in an Organized Health Care Education/Training Program | 2024-06-26 |
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Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Victoria Gonzalez | 5303 Harry Hines Blvd Fl 4, Dallas, TX 75390-7208 | Physician Assistant | 2022-04-29 |
| David M. Owen | 5223 Harry Hines Boulevard, Dallas, TX 75390-7208 | Obstetrics & Gynecology Physician | 2011-05-12 |
| Carol Law | 5303 Harry Hines Blvd Ste 5101, Dallas, TX 75390-7208 | Physical Therapist | 2007-04-27 |
| Robert Alan Ruchinskas | 5323 Harry Hinnes Blvd., Dallas, TX 75390-7208 | Clinical Neuropsychologist | 2005-10-11 |
| Joan H Schiller | 5323 Harry Hines Bv, Dallas, TX 75390-7208 | Hematology & Oncology Physician | 2006-03-28 |
| Raghad Akrouk · Rae Akrouk | 5353 Harry Hines Blvd, Dallas, TX 75390-7208 | Student in an Organized Health Care Education/Training Program | 2023-07-04 |
| Samantha Spann Mccormick | 5303 Harry Hines Blvd Fl 8, Dallas, TX 75390-7208 | Neurology Physician | 2018-11-29 |
| Christina Lu Fei Lobarinas | 5323 Harry Hines Boulevard Dallas Tx 75390 7208, Dallas, TX 75390-7208 | Audiologist | 2012-09-18 |
| Marissa Loren Schedcik | 5303 Harry Hines Blvd # 5.101, Dallas, TX 75390-7208 | Physical Therapist | 2021-12-08 |
| Bradley Scott Guidry | 5303 Harry Hines Blvd Fl 7, Dallas, TX 75390-7208 | Student in an Organized Health Care Education/Training Program | 2022-03-27 |
| Find all providers in the same zip code | |||
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rameear Abdullah Abubaker | 5323 Harry Hine Boulevard, Dallas, TX 75390 | Student in an Organized Health Care Education/Training Program | 2023-03-15 |
| Danny Hsu Yang | 6201 Harry Hines Blved, Dallas, TX 75390 | Hospitalist Physician | 2016-03-23 |
| Muhammad Sohaib Khan | 5323 Harry Hines Mc9159, Dallas, TX 75390 | Student in an Organized Health Care Education/Training Program | 2020-05-05 |
| Megan Rasmussen Bollner · Megan Rasmussen-Bollner | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | Physician Assistant | 2017-01-25 |
| Mohamed Salah Ibrahim Saad Moustafa | Ut Southwestern Medical Center 5323 Harry Hines Blvd. D, Dallas, TX 75390 | Student in an Organized Health Care Education/Training Program | 2024-05-02 |
| Amy Genevieve Dowdey | 6363 Harry Hines Blvd 7th Ste 749, Dallas, TX 75390 | Clinical Social Worker | 2015-07-27 |
| Caitlin Reese | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | Clinical Neuropsychologist | 2018-06-25 |
| Katrina Meria Dotson | Ut Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390 | Student in an Organized Health Care Education/Training Program | 2024-03-26 |
| Asra-Tus-Saleha Siddiqui | 5323 Harry Hines Boulevard, Ut Southwestern Medical Cen, Dallas, TX 75390 | Student in an Organized Health Care Education/Training Program | 2022-05-25 |
| Christian Lobue | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | Clinical Neuropsychologist | 2018-04-19 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Micah's Management Services · Micah's Angels Inc. | 1909 J N Pease Pl, Suite 204, Charlotte, NC 28262-4558 | Case Management Agency | 2007-01-23 |
| Micah Henderson · Micah Gwaltney | Landstuhl Regional Medical Center Cmr 402, Apo, AE 09180, DE | Primary Care Nurse Practitioner | 2013-08-13 |
| Micah E Willeford · Micah E Campbell | 3838 Nw 36th St Ste 200, Oklahoma City, OK 73112-2916 | Counselor | 2010-04-28 |
| Micah Jr Caldwell · Micah J Russell | 3440 Clinton Ave, Berwyn, IL 60402-3322 | Counselor | 2013-02-20 |
| Micah Griffin · Micah Miller Or Durbin | 909 E Republic Rd Ste D200, Springfield, MO 65807-6012 | Physician Assistant | 2019-10-04 |
| Micah Lea Hurrelbrink · Micah Lea Mills | 660 Lake Joy Rd Ste D, Kathleen, GA 31047-2382 | Physical Therapist | 2006-09-26 |
| Micah Lea Hilton · Micah Lea Wolf | 3727 Gene Field Rd, Saint Joseph, MO 64506-1806 | Physical Therapist | 2007-02-16 |
| Micah Lea Monk · Micah Lea Wing | Northwest Texas Healthcare System, 1501 South Coulter, Amarillo, TX 79109 | Registered Dietitian | 2006-07-24 |
| Jodi Jacobs Dc PLLC · Jacobs Healthcare Group | 909 Midland Ave, Yonkers, NY 10704-1092 | Health Service Clinic/Center | 2017-10-11 |
| Jacobs and Van Cleeff Internal Medicine, PC · James Jacobs Md, PC | 115 Crescent Commons Dr, Suite 250, Cary, NC 27518 | Internal Medicine Physician | 2010-01-06 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
