Kristin M. Jacob
Kristin Marie Buzzitta · Internal Medicine

Address: 8501 Meadow Crk, Rockford, MI 49341-7524
Phone: 6162677884

Kristin M. Jacob (NPI# 1811250368) 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) 1811250368
Entity Type Individual
Full Name Kristin M. Jacob
Other Name Kristin Marie Buzzitta
Credential MD
Gender Female
Practice Address 8501 Meadow Crk
Rockford
MI 49341-7524
Practice Telephone 6162677884
Mailing Address 100 Michigan Street Ne Mc845
Grand Rapids
MI 49503-2560
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2012-06-20
Last Update Date 2017-08-07

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 4301100726 MI

Other Providers KRISTIN JACOB

NPI Name Taxonomy Address Enumeration
1356436547 Kristin Liffick Jacob Optometrist 15600 Ne 8th Suite Q2, C/o Paris Miki Optical, Bellevue, WA 98008 2006-10-04

Physician Overview

NPI 1811250368
PAC ID by PECOS 4981834876
Professional Enrollment ID I20160912001350
Full Name Kristin Jacob
Organization Legal Name SPECTRUM HEALTH PRIMARY CARE PARTNERS
Phone Number 6169744884
Gender F
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2012
Primary Specialty INTERNAL MEDICINE
Secondary Specialties PEDIATRIC MEDICINE
Group Practice PAC ID 4587568647
Number of Group Practice Members 1156
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230038 SPECTRUM HEALTH-BUTTERWORTH CAMPUS
230035 SPECTRUM HEALTH UNITED HOSPITAL

Office Location

Street Address 8501 MEADOW CRK
City ROCKFORD
State MI
Zip Code 49341-7524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225032709 Philip E Henderson Internal Medicine 8501 Meadow Crk, Rockford, MI 49341-7524 2005-06-13
1477072700 Dulcie Yancharas Social Worker 8501 Meadow Crk, Rockford, MI 49341-7524 2017-09-19
1437692415 Deborah St Pierre Nurse Practitioner 8501 Meadow Crk, Rockford, MI 49341-7524 2016-11-23
1033569587 Amber Gall Nurse Practitioner 8501 Meadow Crk, Rockford, MI 49341-7524 2016-06-15
1528444833 Travis Ryan Guest Physician Assistant 8501 Meadow Crk, Rockford, MI 49341 2015-08-10
1982086302 Matthew Bottke Family Medicine 8501 Meadow Crk, Rockford, MI 49341 2015-06-22
1346621356 Tristale Williams Social Worker 8501 Meadow Crk, Rockford, MI 49341-7524 2015-06-16
1871908947 Zachary Miller Pediatrics 8501 Meadow Crk, Rockford, MI 49341 2014-06-26
1184036089 Leah Vanenk Family Medicine 8501 Meadow Crk, Rockford, MI 49341-7524 2014-05-27
1306286059 Natasha Lynne Holt Internal Medicine 8501 Meadow Crk, Rockford, MI 49341-7524 2013-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366967077 Elite Nurse Staffing, LLC Nursing Care 3836 Windwood Drive, Ne, Rockford, MI 49341 2017-08-03
1366967069 Caitlin Lebron Case Manager/Care Coordinator 8625 Wildcat Run Dr Ne, Rockford, MI 49341 2017-08-03
1336678747 Melissa Diane Maynard Behavior Technician 3361 36th St., Grand Rapids, MI 49341 2017-06-08
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871025254 Robin D Dine Behavior Technician 8636 Shaner Ave, Rockford, MI 49341 2017-04-03
1528503216 Miles Skalnek Pharmacist 511 10 Mile Road, Rockford, MI 49341 2017-01-04
1366801664 Lorri Ann Kelbel Massage Therapist 11591 Northland Drive Ne, Rockford, MI 49341 2016-02-15
1275872046 Eugene Louis Bonofiglo Dentist 4655- 14 Mile Rd Ne, Rockford, MI 49341 2013-02-13
1740539246 Erica Joyce Nichols Chiropractor 6769 Courtland Dr, Suite 100, Rockford, MI 49341 2012-08-30
1558679241 Lisa Louise Heim Counselor 5311 Rainbow Ridge Ct, Rockford, MI 49341 2010-09-16
Find all providers in zip 49341

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376077453 Spectrum Health Primary Care Partners Internal Medicine 8501 Meadowcreek Dr, Rockford, MI 49341 2017-04-17
1871838656 Takuo Sonoda Internal Medicine 729 Self Hollow Rd, Rockford, TN 37853-3413 2012-12-04
1912216284 Irene Boswell Md PC Internal Medicine 7445 Newburg Rd, Suite 103, Rockford, IL 61108-4443 2010-10-04
1457515280 Carl Gerald Sundahl Internal Medicine 4519 Old Knoxville Hwy, Rockford, TN 37853-3023 2008-07-10
1871785923 Ashima Salwan Internal Medicine 2400 N Rockton Avenue, Rockford, IL 61103-3619 2007-08-13
1497845135 Humaira Bari Internal Medicine 2400 N. Rockton Avenue, Rockford, IL 61103 2006-10-13
1629176060 Christine Judith Simaytis Internal Medicine 4940 E State St Ste 3, Rockford, IL 61108-2271 2006-09-20
1982617817 Jane A Post Internal Medicine 8485 Algoma Ave, Rockford, MI 49341 2006-08-14
1114945144 Radhika Kosaraju Internal Medicine 1404 E State St, Rockford, IL 61104-2335 2006-07-17
1669428702 Saint Anthony Medical Center Internal Medicine 5713 Strathmoor Dr, Rockford, IL 61107-7093 2006-05-26
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 49341

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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.

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