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JACOB ALBERT MISENHEIMER M.D. NPI 1154564557


NPI Information

NPI: 1154564557
Provider Name: JACOB ALBERT MISENHEIMER, M.D.
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Organization: CHARLESTON AREA MEDICAL CENTER INC

PECOS Registration: Yes

Address:
1120 15TH STREET
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-2426
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Jacob Albert Misenheimer, M.D. is an interventional cardiology internal medicine in Augusta, GA with 15 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. Jacob Albert Misenheimer, M.D. NPI is 1154564557. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

1120 15TH STREET
AUGUSTA, GA
ZIP 30912-004
Phone: (706) 721-2426
Fax: (706) 721-2138

The NPI 1154564557 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2009 and was last updated on 9/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2015-00126NORTH CAROLINANo
2207RC0000XInternal MedicineCardiovascular Disease075732GEORGIANo
3207RI0011XInternal MedicineInterventional Cardiology075732GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.