NICHOLAS JEREMY CAJACOB

Address: 619 19th St S, Birmingham, AL 35249-1900
Phone: 2059345004

NICHOLAS JEREMY CAJACOB (NPI# 1346568664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346568664
Entity Type 1 - Individual
Full Name NICHOLAS JEREMY CAJACOB
Credential M.D.
Practice Address 619 19th St S
Birmingham
AL 35249-1900
Practice Telephone 2059345004
Enumeration Date 05/11/2010
Last Update Date 12/28/2015
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine MD31444 AL Allopathic & Osteopathic Physicians
N 208000000X Pediatrics MD.31444 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL BCBS 511-35865 01
AL 147941 05
AL BCBS 511-35868 01
AL 148481 05

Office Location

Street Address 619 19TH ST S
City BIRMINGHAM
State AL
Zip Code 35249-1900

Providers with the same location

NPI Name Address
1205838505 MS. PEGGY CALHOUN WILSON 619 19th St S, Birmingham, AL 35249-1900
1346245545 HARTWIG P JANDER 619 19th St S, Birmingham, AL 35249-1900
1093710832 COLIN C STEWART 619 19th St S, Birmingham, AL 35249-1900
1003811845 JAMES C WALKER JR. 619 19th St S, Birmingham, AL 35249-1303
1104823491 DAVID NORMAN BOLUS 619 19th St S, Birmingham, AL 35249-1900
1760481238 DR. TOMIE ANN BOACKLE 619 19th St S, Birmingham, AL 35249-1900
1871594176 CHARLES F FELGNER 619 19th St S, Birmingham, AL 35249-1900
1306848023 FREDERICK H WEBER JR. 619 19th St S, Birmingham, AL 35249-0001
1326037136 DR. MARK W TODD 619 19th St S, Birmingham, AL 35249-1900
1013906445 DR. KIMBERLY HOOVER 619 19th St S, Wif, 10261, Birmingham, AL 35249-7333

Competitor

Search similar physicians

City BIRMINGHAM
Zip Code 35249

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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.