JESSICA JANE KOLB (NPI# 1083029920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083029920 |
Entity Type | Individual |
Full Name | JESSICA JANE KOLB |
Credential | M.D. |
Practice Address |
4209 Webber Pkwy Minneapolis MN 55412-1747 |
Mailing Address |
3300 Oakdale Ave N Robbinsdale MN 55422 |
Practice Telephone | 7635815750 |
Practice Fax Number | 7635815751 |
Mailing Telephone | 7635205200 |
Mailing Fax Number | 7635816401 |
Enumeration Date | 2014-06-30 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 64616 | MN | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | A142616 | CA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
300 Hillmont Ave, Ventura, CA 930031651 | 8056526000 | |
870 Grand Ave, Saint Paul, MN 551053291 | 6513265650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922570761 | Jessica Kolb | Registered Nurse | 301 Coronado Dr Apt 1019, Denton, TX 76209-0972 | 2018-12-18 |
Street Address |
4209 WEBBER PKWY |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55412-1747 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194791905 | William Youmans | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2006-02-23 |
1396242764 | Kyle A Walburg | Pharmacist | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2018-04-11 |
1134653074 | Roshini Selladurai | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2017-04-18 |
1295150233 | Kayla Ann Frank | Physician Assistant | 4209 Webber Pkwy, Minneapolis, MN 55412 | 2014-02-27 |
1710245105 | Cora Walsh | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2012-04-24 |
1467606673 | North Memorial Health Care | Clinic/Center | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2008-11-14 |
1578725347 | Holly Mary Stenzel Taynton | Family Medicine | 4209 Webber Pkwy, Minneapolis, MN 55412-1747 | 2008-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
1346708138 | Steven Keith Bell | Chiropractor | 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 | 2019-03-11 |
1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
1235676438 | The Helping Hands Mn L.L.C. | Home Health | 860 Blue Gentain Rd, 200, Eagen, MN 55412 | 2017-01-25 |
1982070454 | Sylvia Majors | Driver | 3443 Colfax Ave North, Minneapolis, MN 55412 | 2015-08-19 |
1962746859 | Maureen Ellis | Social Worker | 4151 Thomas Ave N, Minneapolis, MN 55412 | 2012-11-16 |
1770832552 | Mastery School Inc. | Local Education Agency (LEA) | 4021 Thomas Ave N, Minneapolis, MN 55412 | 2012-09-07 |
1902171416 | David Anthony Wicklund | Massage Therapist | 2206 44th Ave N, Minneapolis, MN 55412 | 2012-03-16 |
1376739656 | Gloria Dean Scales Peterson | Social Worker | 3333 North 4th Street, Minneapolis, MN 55412 | 2007-09-19 |
1922173798 | Rodney Allen Lenz | Dentist | 4207 Aldrich Avenue North, Minneapolis, MN 55412 | 2006-11-21 |
Find all providers in zip 55412 |
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 |
---|---|---|---|---|
1336594498 | Jaimi Weber | Family Medicine | Mmc 381, 420 Delaware St. Se, Minneapolis, MN 55445 | 2016-04-26 |
1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
1902209687 | Elaine May | Family Medicine | 2861 Burnham Blvd, Minneapolis, MN 55416-4331 | 2014-10-08 |
1952741050 | Gregory Olszewski | Family Medicine | 19 S 1st St Apt B2603, Minneapolis, MN 55401-1845 | 2013-07-03 |
1881940864 | Isaac Milton Engholm | Family Medicine | 825 Nicollet Mall Ste 403, Minneapolis, MN 55402-2611 | 2012-07-27 |
1942572763 | Neighborhood Healthsource | Family Medicine | 1015 4th Avenue North, Suite 201, Minneapolis, MN 55405-1178 | 2012-02-09 |
1225323371 | Yun Chau Bernice Lee | Family Medicine | 2823 Dean Pkwy, Minneapolis, MN 55416-4401 | 2011-06-16 |
1730487208 | Specialized Medical Response, LLC | Family Medicine | 401 Harding St Ne #100, Minneapolis, MN 55413 | 2011-03-08 |
1285930065 | Allina Health System | Family Medicine | 3024 Snelling Ave S, Minneapolis, MN 55406-1911 | 2011-01-27 |
1013226844 | Corban Health Care, Pllc | Family Medicine | 5141 36th Ave S, Minneapolis, MN 55417-1518 | 2010-09-28 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55412 |
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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.