DR. JACOB EDWARDS (NPI# 1083093678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083093678 |
| Entity Type | Individual |
| Full Name | DR. JACOB EDWARDS |
| Credential | D.C. |
| Practice Address |
6401 N Interstate Dr Suite 148 Norman OK 73069-9515 |
| Practice Telephone | 4058013665 |
| Mailing Telephone | 4058013665 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4198 | OK | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828163 | Jacob Edwards | Pharmacist | 921 W Main St, Lyons, KS 67554-1708 | 2020-07-15 |
| 1124547427 | Jacob Edwards | Behavioral Analyst | 5501 Antique Rose Way, Riverbank, CA 95367-9505 | 2017-09-18 |
| 1619346848 | Jacob Edwards | Physical Therapist | 3317 N Wimberly Dr, Fayetteville, AR 72703-4056 | 2015-09-17 |
| 1154700227 | Jacob Daniel Edwards | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-05-22 |
| 1851694046 | Jacob Edwards | Behavioral Analyst | 6759 W Charleston Blvd, Suite 130, Las Vegas, NV 89146-2002 | 2010-12-10 |
| 1730323254 | Jacob Edwards | Pediatrics | 5565 Montgomery Hwy, Dothan, AL 36303-1552 | 2009-04-28 |
| Street Address |
6401 N INTERSTATE DR SUITE 148 |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-9515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295150548 | Aaron Kyle Gray | Chiropractor | 6401 N Interstate Dr, Norman, OK 73069-9514 | 2014-02-24 |
| 1033766191 | Physician's Choice In Care, LLC | Hospice Care, Community Based | 6401 N Interstate Dr, Norman, OK 73069-9515 | 2019-08-23 |
| 1386096832 | Gregory Tyler Reading | Chiropractor | 6401 N Interstate Dr, #148, Norman, OK 73069-9515 | 2016-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295150548 | Aaron Kyle Gray | Chiropractor | 6401 N Interstate Dr, Norman, OK 73069-9514 | 2014-02-24 |
| 1699078873 | Curtis Wade Snodgrass | Chiropractor | 751 Canadian Trails Dr, Suite 500, Norman, OK 73072-7638 | 2010-12-10 |
| 1346540713 | Brenton D Delong | Chiropractor | 1018 24th Ave Nw Ste 100, Norman, OK 73069-6543 | 2010-11-01 |
| 1952533085 | Kreg Andrew Griffith | Chiropractor | 360 24th Ave Nw, Suite 114, Norman, OK 73069-6498 | 2009-08-24 |
| 1790947273 | Derryberry Health Pllc | Chiropractor | 1200 12th Ave Se, 136, Norman, OK 73071-2497 | 2008-06-26 |
| 1235339763 | Express Rehab | Chiropractor | 613 24th Ave Sw Ste 200, Norman, OK 73069-3984 | 2007-07-23 |
| 1356563928 | Spaulding Family Chiropractic P C | Chiropractor | 927 N Flood Ave, Norman, OK 73069 | 2007-05-03 |
| 1487878179 | Matthew B Spaulding | Chiropractor | 360 24th Ave Nw Ste 114, Norman, OK 73069-6499 | 2007-04-12 |
| 1841317286 | Kelley Scott Butts | Chiropractor | 519 E Robinson St, Norman, OK 73071-6614 | 2007-03-22 |
| 1649324336 | Raymond E Cook | Chiropractor | 2400 Tee Cir, Norman, OK 73069-6378 | 2007-01-22 |
| Find all providers in NORMAN | ||||
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| 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.