JACOB D KARMAZIN (NPI# 1811311921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811311921 |
| Entity Type | Individual |
| Full Name | JACOB D KARMAZIN |
| Credential | PA-C |
| Practice Address |
145 Memorial Dr Broken Bow NE 68822-1378 |
| Mailing Address |
Po Box 690 Broken Bow NE 68822-0690 |
| Practice Telephone | 3088722486 |
| Practice Fax Number | 3088722027 |
| Mailing Telephone | 3088722486 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1799 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
145 MEMORIAL DR |
| City | BROKEN BOW |
| State | NE |
| Zip Code | 68822-1378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528098407 | Julie A Lindstrom | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-07-04 |
| 1386271419 | Valerie Harris | Counselor | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2020-03-26 |
| 1861959017 | Justin Boutwell | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2019-02-25 |
| 1982143764 | Jason S Brooks | Physician Assistant | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-14 |
| 1033657820 | Laci Kai Scott | Nurse Practitioner | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2017-02-01 |
| 1295199792 | Katie Thompson | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2016-04-11 |
| 1942400585 | Melissa Ann Kulhanek | Pharmacist | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-07-23 |
| 1366659773 | Jennie M Melham Memorial Medical Center Inc | Nurse Anesthetist, Certified Registered | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2007-05-16 |
| 1609937598 | Loren Henning Jacobsen | Family Medicine | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-12-13 |
| 1093880072 | Jennie M Melham Memorial Medical Center | Nursing Facility/Intermediate Care Facility | 145 Memorial Dr, Broken Bow, NE 68822-1378 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659898229 | Lauren Eliz Zimbelman | Occupational Therapy Assistant | Brookestone View, 850 Laurel Parkway Drive, Broken Bow, NE 68822 | 2017-08-24 |
| 1063868032 | Tanner Johnson | Specialist/Technologist | 79568 Sumner Rd., Broken Bow, NE 68822 | 2016-05-10 |
| 1730571837 | Quality Senior Villages | Clinic/Center | 715 Arapahoe Lane, Broken Bow, NE 68822 | 2015-02-26 |
| 1346660743 | Sheila Erickson | Case Manager/Care Coordinator | 323 S 7th Street, Broken Bow, NE 68822 | 2014-04-24 |
| 1497926570 | Sarah Tove Hansen | Community Health Worker | 850 Laurel Parkway Dr, Broken Bow, NE 68822 | 2008-03-18 |
| 1144320144 | John C Evans | Nurse Anesthetist, Certified Registered | 145 Memorial Dr., Broken Bow, NE 68822 | 2006-09-22 |
| 1588764583 | Timothy Bart Johnson | Nurse Anesthetist, Certified Registered | 79568 Sumner Road, Broken Bow, NE 68822 | 2006-09-22 |
| 1578668232 | Central Nebraska Medical Clinic PC | Family Medicine | 145 Memorial Drive, Broken Bow, NE 68822 | 2006-09-14 |
| 1265668172 | Errin M. Nelson | Physical Therapist | 325 South 1st Ave, Errin Nelson, Broken Bow, NE 68822-0435 | 2009-06-05 |
| 1083025571 | Deniece P Petersen | Physical Therapist | 325 S 1st Ave, Broken Bow, NE 68822-0435 | 2014-05-19 |
| Find all providers in zip 68822 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538381033 | Mccurtain Memorial Medical Management, Inc. | Physician Assistant | 205 N Main, Broken Bow, OK 74728-3975 | 2007-05-03 |
| 1881695948 | Jason R Mchenry | Physician Assistant | 800 N Park Dr, Broken Bow, OK 74728-2146 | 2005-08-10 |
| 1134510803 | Angie Marie Hunt | Physician Assistant | 145 Memorial Dr., Broken Bow, NE 68822-0690 | 2015-02-16 |
| 1104988070 | Tonya Joy Boles | Physician Assistant | 6026 Battiest Pickens Rd, Broken Bow, OK 74728-5033 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1659901601 | Jordan Marie Morris | Physician Assistant | 821 Bordeaux St, Chadron, NE 69337-2614 | 2020-01-17 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| Find all providers with the same taxonomy | ||||
| City | BROKEN BOW |
| Zip Code | 68822 |
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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.