Ms. Dianne Roseberry Jacobs
Ms. Dianne R Jacobs · Physician Assistant (Medical)

Address: 1699 Leadenhall Street, Spring Gardens Medical Dispensary, Baltimore, MD 21230
Phone: 4102914800

Ms. Dianne Roseberry Jacobs (NPI# 1588838585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1588838585
Entity Type Individual
Full Name Ms. Dianne Roseberry Jacobs
Other Name Ms. Dianne R Jacobs
Credential PAC
Gender Female
Practice Address 1699 Leadenhall Street
Spring Gardens Medical Dispensary
MD 21230
Practice Telephone 4102914800
Practice Fax Number 4102914511
Mailing Address 1699 Leadenhall Street
Spring Gardens Medical Dispensary
MD 21230
Mailing Telephone 4102914800
Mailing Fax Number 4102914511
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-04-22
Last Update Date 2008-04-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers C0000147 MD

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902381353 Brandon Wilson Physician Assistant 5601 Lochraven Blvd, Baltimore, MD 21239 2018-10-02
1245718733 Kaitlyn Ayerle Physician Assistant 9900 Franklin Square Dr Ste B, Baltimore, MD 21236-5915 2018-08-06
1376037572 Marie Hoffman Physician Assistant 1838 Greene Tree Rd Ste 400, Baltimore, MD 21208-7103 2018-06-20
1902315625 Randy Kimery Physician Assistant 3421 Benson Ave Ste 210, Baltimore, MD 21227-1064 2017-09-26
1447701958 Yuliya Shmyga Fischer Physician Assistant 345 St Paul Pl, Baltimore, MD 21202-1937 2016-10-19
1851845655 Tamarah Thompson Physician Assistant 1830 E Monument St Ste 452, Baltimore, MD 21287-0020 2016-08-09
1194194449 Alexzandra Kristyna Briedis Physician Assistant 1311 Olive St, Baltimore, MD 21230-4255 2015-09-16
1295124030 Miriam Weiss Physician Assistant 6602 Troy Ct, Baltimore, MD 21209-2636 2015-01-16
1972992824 Kelley Crane Physician Assistant 4940 Eastern Ave Ste A-150, Baltimore, MD 21224-2735 2015-01-15
1447688353 Adina Bergmann Physician Assistant 3630 Milford Mill Rd, Baltimore, MD 21244-3328 2013-10-31
Find all providers in BALTIMORE

Office Location

Street Address 1699 LEADENHALL STREET
State MD
Zip Code 21230

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235739558 Margaret Webb Registered Nurse Medstar Health, 1420 Key Highway, Baltimore, MD 21230 2020-10-27
1497381263 Hawkes Counseling Services Counselor 837 Washington Blvd, Suite B, Baltimore, MD 21230 2020-03-12
1821570011 Lisa Le Social Worker 1623 Covington St, Baltimore, MD 21230 2018-09-04
1396237673 Kinderhealth, LLC Nurse Practitioner 10 W West St, Baltimore, MD 21230 2018-06-03
1144745068 Charles Billingsley Counselor 909 W Barre St, Baltimore, MD 21230 2017-08-11
1447791058 Elizabeth Richmond Nurse Practitioner 2 East Wells Apt 179, Baltimore, MD 21230 2017-03-15
1952775389 Courtney Schwalbe Speech-Language Pathologist 600 S Paca Street, Baltimore, MD 21230 2015-11-23
1093071920 Glass Health Programs, Inc Clinic/Center 1801 Cherry Hill Rd, Baltimore, MD 21230 2012-04-04
1487937512 Harris Teeter, LLC Pharmacy 1801 Whetstone Way, Baltimore, MD 21230 2011-09-26
1487980280 Ife A Thompson Physician Assistant 601 S. Charles Street, Baltimore, MD 21230 2009-10-29
Find all providers in zip 21230


Search similar providers

Zip Code 21230

Improve Information

Please comment or provide details below to improve the information on Ms. Dianne Roseberry Jacobs.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.