Healthcare Provider Details

I. General information

NPI: 1518324417
Provider Name (Legal Business Name): EYAS JACOB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COLLIERS WAY
WEIRTON WV
26062-5014
US

IV. Provider business mailing address

100 LINCOLN RD
MIAMI BEACH FL
33139-2013
US

V. Phone/Fax

Practice location:
  • Phone: 304-797-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME159919
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: