JACOB MICHAEL O'QUIN (NPI# 1205499605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205499605 |
Entity Type | Individual |
Full Name | JACOB MICHAEL O'QUIN |
Practice Address |
1214 Coolidge Blvd Lafayette LA 70503-2621 |
Practice Telephone | 3372897991 |
Mailing Telephone | 3372897991 |
Enumeration Date | 2019-04-21 |
Last Update Date | 2019-06-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
313223 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1214 COOLIDGE BLVD |
City | LAFAYETTE |
State | LA |
Zip Code | 70503-2621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275536799 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2005-05-30 |
1518577030 | Lafayette General Medical Center Inc | Clinic/Center | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-08-10 |
1487278016 | Morgan Jade Angelle | Physician Assistant | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-05-29 |
1710508296 | Decolia Ronic Rogers | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2020-05-06 |
1912545120 | Steven Minervini | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-12-18 |
1942848395 | Selleck Leblanc | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-12-17 |
1316581325 | Laken Tujague | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-11-01 |
1679039606 | Jacqueline White | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-02-14 |
1568927978 | Linsey Mae Zaroban | Nurse Anesthetist, Certified Registered | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2019-02-11 |
1639645815 | Sara Beth Lowe | Physician Assistant | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2018-10-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
Find all providers in zip 70503 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
1871900936 | Leigh Hannah Culpepper | Physician Assistant | 200 Corporate Blvd Ste 201, Lafayette, LA 70508-3870 | 2014-07-21 |
1265623722 | Morgan Anne Mannina-williams | Physician Assistant | 1103 Kaliste Saloom Rd Ste 100, Lafayette, LA 70508-5784 | 2007-08-08 |
1417085192 | Moss Street Medical Clinic Inc | Physician Assistant | 1417 Moss St, Lafayette, LA 70501-3654 | 2007-03-02 |
1245391960 | Lena Opitz Sevin | Physician Assistant | 105 Patriot St, Ste 101, Lafayette, LA 70508-6831 | 2006-12-13 |
1952413726 | Meaghan Tara Saint | Physician Assistant | 978 2nd St Ste 220, Lafayette, CA 94549-4546 | 2006-08-31 |
1962467894 | Lucy Judson | Physician Assistant | 2000 W South Boulder Road, Lafayette, CO 80026-1389 | 2006-04-20 |
1609845130 | Emergency Group of Lafayette LLC | Physician Assistant | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-03-16 |
1336138692 | Natalie Deshotels | Physician Assistant | 443 Heymann Blvd, Suite A, Lafayette, LA 70503-2632 | 2005-10-19 |
Find all providers in LAFAYETTE |
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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.