DR. NOLAN SAKOW (NPI# 1861594509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861594509 |
| Entity Type | Individual |
| Full Name | DR. NOLAN SAKOW |
| Credential | MD |
| Practice Address |
540 Jett Dr Jackson KY 41339-9622 |
| Mailing Address |
Po Box 4342 Horseshoe Bay TX 78657-4342 |
| Practice Telephone | 6066666000 |
| Mailing Telephone | 8305981745 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
25501 | KY | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 25501 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64255011 | 05 |
| Street Address |
540 JETT DR |
| City | JACKSON |
| State | KY |
| Zip Code | 41339-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124928 | Louis P Ellen | Optometrist | 540 Jett Dr, Jackson, KY 41339-9622 | 2005-06-17 |
| 1144841412 | Sound Physicians Anesthesiology of Kentucky Psc | Anesthesiology | 540 Jett Dr, Jackson, KY 41339-9622 | 2020-04-28 |
| 1841825767 | Breathitt Emergency Group, LLC | Physician Assistant | 540 Jett Dr, Jackson, KY 41339-9622 | 2020-03-11 |
| 1053960534 | Brittney Denise Herald | Nurse Practitioner | 540 Jett Dr, Jackson, KY 41339-9622 | 2019-09-08 |
| 1851842199 | Carl Gross | Physician Assistant | 540 Jett Dr, Jackson, KY 41339-9622 | 2016-10-21 |
| 1174970909 | Whitaker National Corporation | Physician Assistant | 540 Jett Dr, Jackson, KY 41339 | 2016-05-23 |
| 1174913172 | Advanced Surgical Specialists of Ky, Pllc | Surgery | 540 Jett Dr, Jackson, KY 41339-9622 | 2015-01-28 |
| 1063712701 | Jackson Physician Corp | Durable Medical Equipment & Medical Supplies | 540 Jett Dr, Jackson, KY 41339-9622 | 2010-10-28 |
| 1174752356 | Kentucky River Hbp LLC | Radiology | 540 Jett Dr, Jackson, KY 41339-9622 | 2009-07-08 |
| 1295985596 | Jackson Hospital Corporation | Medicare Defined Swing Bed Unit | 540 Jett Dr, Jackson, KY 41339-9622 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1336763135 | Jill Elaine Beattie Green | Occupational Therapist | 100 Ky-15, Jackson, KY 41339 | 2020-06-08 |
| 1023641446 | Andreanna Gibbs | Physical Therapy Assistant | 100 Hwy 15, Jackson, KY 41339 | 2020-02-13 |
| 1144797754 | Visionary Rehabilitation Services, LLC | Speech-Language Pathologist | 100 Kentucky Hwy 15 South, Suite 136, Jackson, KY 41339 | 2018-11-01 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| 1508225996 | Jessica Williams | Pharmacist | 842 Highway 15 N, Jackson, KY 41339 | 2016-02-15 |
| 1245637255 | Breathitt County Ambulance, Inc. | Ambulance | 440 Highway 1812 North, Jackson, KY 41339 | 2014-11-20 |
| 1265784045 | Jonathan Charles Morris | Physical Therapist | 695 Ky Hwy 15 N, Ste 3, Jackson, KY 41339 | 2012-10-04 |
| 1649539958 | Henry Price Sewell IIi IIi | Family Medicine | 170 Picnic Hill Rd, Jackson, KY 41339 | 2012-05-07 |
| Find all providers in zip 41339 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
| 1124475371 | Donald Lafont | General Practice | 331 Edenwood Dr, Jackson, TN 38301-3432 | 2016-05-18 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| 1457665333 | Teton County Hospital District | General Practice | Box 428 625 E Broadway Ave, Jackson, WY 83001-8642 | 2010-08-03 |
| 1851524730 | Byrd Lamar Payne | General Practice | 1205 Lyncrest Ave, Jackson, MS 39202-2106 | 2009-08-26 |
| 1801031703 | Total Spine Surgical Center LLC | General Practice | 1455 College Ave, Jackson, AL 36545-2410 | 2008-12-05 |
| 1992974018 | Visiting Doctors PC | General Practice | 2108 4th St Ste A, Jackson, MI 49203-4518 | 2008-02-22 |
| 1821127093 | Peter Thomas Gardner | General Practice | 2075 Pleasant Plains Ext Rd, Jackson, TN 38305-6087 | 2007-03-05 |
| 1154491579 | Bruce Hayse | General Practice | 269 West Broadway, Jackson, WY 83001-1884 | 2006-11-09 |
| 1104880558 | Lorna Gaye Pinson | General Practice | 3235 East Michigan Ave, Jackson, MI 49202 | 2006-04-13 |
| Find all providers in JACKSON | ||||
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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.