JACOB B OLSON (NPI# 1922582873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922582873 |
| Entity Type | Individual |
| Full Name | JACOB B OLSON |
| Practice Address |
1120 Sams St Cookeville TN 38506 |
| Mailing Address |
1120 Sams St Cookeville TN 38506-4006 |
| Practice Telephone | 9315287312 |
| Practice Fax Number | 9315287377 |
| Mailing Telephone | 9315287312 |
| Mailing Fax Number | 9315287377 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PA03726 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 133 Churchill Dr Ste A, Sparta, TN 385831500 | 9318363262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508205782 | Jacob Olson | Pharmacist | 2560 Kenzie Ter Apt 218c, Saint Anthony, MN 55418-4258 | 2013-06-20 |
| 1467705400 | Jacob Joseph Olson | Pharmacist | 9000 W Wisconsin Ave, Children's Clinics Bldg, Wauwatosa, WI 53226-4874 | 2012-10-15 |
| 1225396237 | Jacob Kirt Olson | Student in an Organized Health Care Education/Training Program | 11234 Anderson St, Gme Office Csp 21005, Loma Linda, CA 92354-2804 | 2012-04-26 |
| 1225334543 | Jacob Olson | Occupational Therapist | 1051 W Us Route 6, Suite 400, Morris, IL 60450-4200 | 2011-02-03 |
| Street Address |
1120 SAMS ST |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073517892 | James W Cates Jr. | Family Medicine | 1120 Sams St, Cookeville, TN 38506-4006 | 2005-06-09 |
| 1831604313 | Agilitas Usa, Inc | Clinic/Center | 1120 Sams St, Cookeville, TN 38506-4006 | 2017-12-06 |
| 1609225556 | April Danielle Looper | Physician Assistant | 1120 Sams St, Cookeville, TN 38506-4006 | 2016-06-10 |
| 1538540430 | Hunter Vetter | Physical Therapist | 1120 Sams St, Cookeville, TN 38506-4006 | 2015-06-16 |
| 1700022597 | Rachel Mattson Hall | Nurse Practitioner | 1120 Sams St, Cookeville, TN 38506-4006 | 2008-12-28 |
| 1861515397 | Satellite Med | Clinic/Center | 1120 Sams St, Cookeville, TN 38506-4006 | 2007-04-09 |
| 1629110176 | Rebecca Erin Vaughn | Registered Nurse | 1120 Sams St, Cookeville, TN 38506-4006 | 2007-02-13 |
| 1376592774 | Bobbi A. Severt | Specialist/Technologist | 1120 Sams St, Cookeville, TN 38506-4006 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538782909 | Eric E Tywon | Physical Therapy Assistant | 1519 East Spring St Ste G, Cookeville, TN 38506 | 2020-05-20 |
| 1669955316 | Charaya Chontay Upton | Counselor | 128 Bilbrey St Apt 1, Cookeville, TN 38506 | 2018-09-10 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1093235665 | Luis Filipe Mariusso | Dentist | 1640 Salem Rd, Cookeville, TN 38506 | 2017-06-23 |
| 1538611264 | Tammy Mccoy | Counselor | 4900 Rocky Point Rd, Cookeville, TN 38506 | 2016-10-28 |
| 1063964799 | Bunker Hill Staffing LLC | Nurse Practitioner | 1300 Bunker Hill Rd Ste A, Cookeville, TN 38506 | 2016-10-28 |
| 1679942155 | Upper Cumberland Family Dentistry | Dentist | 554 West Main Street, Algood, TN 38506 | 2015-09-15 |
| 1124376272 | Steven T Ford | Counselor | 568 Scenic Lane, Cookeville, TN 38506 | 2012-08-21 |
| 1780961169 | Heather Harden Cathey | Nurse Practitioner | 1120 Sam's Street, Cookeville, TN 38506 | 2011-11-14 |
| Find all providers in zip 38506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356682819 | James Lanier Jr. | Family Medicine | 1041 Sugartree Pt, Cookeville, TN 38501-4535 | 2013-03-08 |
| 1417155292 | Tabor Family Medicine Pllc | Family Medicine | 406 N Whitney Ave Ste 3, Cookeville, TN 38501-2455 | 2007-07-03 |
| 1134339278 | Hunter A Stenzel | Family Medicine | 1080 Neal St Ste 103, Cookeville, TN 38501 | 2007-05-23 |
| 1508989450 | Brent Davis Staton | Family Medicine | 1135 S Walnut Ave, Cookeville, TN 38501-5961 | 2007-04-07 |
| 1306976352 | Clarence L Jones Md PC | Family Medicine | 222 N Oak Ave, Cookeville, TN 38501-2438 | 2007-03-07 |
| 1043376544 | Kenny W. Lynn, M.d. | Family Medicine | 210 N Cedar Ave, Cookeville, TN 38501-2419 | 2006-12-29 |
| 1821107574 | James G Staggs | Family Medicine | 753b Humble Dr, Cookeville, TN 38501-3777 | 2006-08-29 |
| 1891719274 | Harold A Chertok | Family Medicine | 445 N Cedar Ave, Cookeville, TN 38501-2422 | 2006-07-27 |
| 1295706356 | Pamela J Sanders | Family Medicine | 43 Church Ave, Cookeville, TN 38501-3217 | 2006-01-27 |
| 1588645196 | Pardeep K Sharma | Family Medicine | 221 N Oak Ave, Cookeville, TN 38501-2437 | 2005-11-10 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38506 |
Please comment or provide details below to improve the information on JACOB B OLSON.
| 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.