TIMOTHY OLE HOVLAND (NPI# 1255343505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255343505 |
| Entity Type | Individual |
| Full Name | TIMOTHY OLE HOVLAND |
| Credential | PA-C |
| Practice Address |
2505 Samaritan Dr Ste 210 San Jose CA 95124-4008 |
| Practice Telephone | 4083588300 |
| Practice Fax Number | 4083588301 |
| Mailing Telephone | 4083588300 |
| Mailing Fax Number | 4083588301 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA12929 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE PTAN | P01378879 | 01 |
| Street Address |
2505 SAMARITAN DR STE 210 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356701429 | Andrea Nola | Physician Assistant | 311 E Empire St, San Jose, CA 95112-3302 | 2016-03-02 |
| 1164847273 | Robert Bruce, Inc | Physician Assistant | 4950 Cherry Ave, #41, San Jose, CA 95118-2751 | 2014-02-26 |
| 1124473756 | Mary Haas | Physician Assistant | 2425 Samaritan Dr, San Jose, CA 95124-3908 | 2016-05-02 |
| 1902215726 | Jessica Lorena Martinez | Physician Assistant | 2577 Samaritan Drive, Ste 810, San Jose, CA 95124-4103 | 2014-08-06 |
| 1467881821 | Lisa Finger | Physician Assistant | 260 International Cir, 1 North Orthopaedic Department, San Jose, CA 95119-1130 | 2013-11-06 |
| 1881913960 | Assist Surgery John | Physician Assistant | 2110 Forest Ave, San Jose, CA 95128-1469 | 2010-05-27 |
| 1831219344 | Harland Wong | Physician Assistant | 455 Oconnor Dr, Suite 310 B, San Jose, CA 95128-1633 | 2007-03-29 |
| 1902952013 | Brooke Davis | Physician Assistant | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-25 |
| 1396890315 | Yong Bae | Physician Assistant | 260 International Cir, San Jose, CA 95119-1130 | 2007-01-23 |
| 1316091051 | Jamie Lyn Staley | Physician Assistant | 260 International Cir, Orthopaedic Department, San Jose, CA 95119-1130 | 2007-01-22 |
| Find all providers in SAN JOSE | ||||
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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.