JAKAI NOLAN (NPI# 1649634015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649634015 |
| Entity Type | Individual |
| Full Name | JAKAI NOLAN |
| Credential | D.O. |
| Practice Address |
3535 Southern Blvd Kettering OH 45429-1221 |
| Mailing Address |
1 Prestige Pl Ste 550 Miamisburg OH 45342-6115 |
| Practice Telephone | 9376439299 |
| Practice Fax Number | 9376432343 |
| Mailing Telephone | 9377621310 |
| Mailing Fax Number | 9375228068 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
34.014295 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0409731 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 W Grand Ave, Dayton, OH 454057538 | 9377233245 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255356069 | Ling Xu | Psychiatry & Neurology | 540 Lincoln Park Blvd Ste 200, Kettering, OH 45429 | 2006-07-13 |
| 1922476332 | Taylor Kabacinski | Psychiatry & Neurology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2015-09-02 |
| 1285916585 | Alliance Physician Inc | Psychiatry & Neurology | 3533 Southern Blvd, Suite 5200, Kettering, OH 45429-1275 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
| 1972145431 | Columbus Neuroscience LLC | Psychiatry & Neurology | 450 Alkyre Run Ste 350, Westerville, OH 43082-6912 | 2019-10-16 |
| 1538632641 | Premier Neurology LLC | Psychiatry & Neurology | 1730 W 25th St Ste 3a, Cleveland, OH 44113-3108 | 2019-01-10 |
| 1285112862 | Andrew Kuntz | Psychiatry & Neurology | 1611 S Green Rd Ste 141, South Euclid, OH 44121-4121 | 2018-08-05 |
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
| 1952751471 | Mohamed Ridha | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Mail Location 0525, Cincinnati, OH 45267-1552 | 2016-06-15 |
| 1508246422 | Rachel Pan | Psychiatry & Neurology | 135 N Ewing St Ste 204, Lancaster, OH 43130-3378 | 2015-06-05 |
| 1477940369 | Robert Joseph Stanton II | Psychiatry & Neurology | 3130 Highland Ave Fl 2, Uc Health Neurology Clinic, Cincinnati, OH 45219-2399 | 2015-04-20 |
| 1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
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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.