JAMES BRIAN OLACK (NPI# 1669686135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669686135 |
| Entity Type | Individual |
| Full Name | JAMES BRIAN OLACK |
| Credential | M.D. |
| Practice Address |
2450 E Show Low Lake Rd Suite 2a Show Low AZ 85901-7953 |
| Practice Telephone | 9285376767 |
| Practice Fax Number | 9285370299 |
| Mailing Telephone | 9285376767 |
| Mailing Fax Number | 9285370299 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | ME103523 | FL | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
43222 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2450 E SHOW LOW LAKE RD SUITE 2A |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205874351 | Phoenix Vamc | Clinic/Center | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2006-06-02 |
| 1992190201 | Deann Marie Anderson | Nurse Practitioner | 2450 E Show Low Lake Rd, Show Low, AZ 85901-7953 | 2015-04-02 |
| 1841586245 | Cheryl Williams | Registered Nurse | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2011-06-23 |
| 1427221811 | Elaine Denise Sawyers | Social Worker | 2450 E Show Low Lake Rd, Suite 3, Show Low, AZ 85901-7953 | 2008-04-08 |
| 1457422172 | Karen A Clark Md Pa | Internal Medicine | 2450 E Show Low Lake Rd, 2a, Show Low, AZ 85901-7953 | 2006-11-13 |
| 1760594782 | Ralph C Ibsen | Social Worker | 2450 E Show Low Lake Rd, Suite 3a, Show Low, AZ 85901-7953 | 2006-08-31 |
| 1326070582 | Stephen Claude Betts | Internal Medicine | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2006-07-07 |
| 1396775680 | Osaf Ahmed | Internal Medicine | 2450 E Show Low Lake Rd, #1, Show Low, AZ 85901-7953 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174004162 | Richard Gittings Parry | Surgery | 10602 W Cameo Dr, Sun City, AZ 85351-2708 | 2018-08-27 |
| 1972022093 | Wound Management Solutions LLC | Surgery | 6900 E Camelback Road, Suite 900, Scottsdale, AZ 85251 | 2017-09-11 |
| 1396188033 | Mark Gruszynski | Surgery | 8595 E Bell Rd Ste 103, Scottsdale, AZ 85260-1306 | 2013-04-11 |
| 1578862512 | Joshua Jacob Tofield | Surgery | 5221 E Hill Place Dr, Tucson, AZ 85712-1348 | 2011-03-16 |
| 1831334861 | Joshua Robert Olson | Surgery | 1482 E Williams Field Rd, Suite B101, Gilbert, AZ 85295-1816 | 2008-12-04 |
| 1821254517 | Daniel David Sutphin | Surgery | 2460 S Parkview Loop, Suite 201, Yuma, AZ 85364-5358 | 2008-08-01 |
| 1275705188 | Atanu Biswas | Surgery | 9401 W Thunderbird Rd Ste 140, Peoria, AZ 85381-4817 | 2008-03-31 |
| 1427253566 | Apex Plastic Surgery Pllc | Surgery | 5656 S. Power Rd, Gilbert, AZ 85295-8491 | 2007-06-19 |
| 1144430182 | Jason Lee Mussman | Surgery | 10240 W. Indian School Rd., Suite 115, Phoenix, AZ 85037 | 2007-05-22 |
| 1861615262 | Remus Repta | Surgery | 3271 N Civic Center Plz Ste 105, Scottsdale, AZ 85251-6990 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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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.