JESSICA JANE KOLB


Address: 4209 Webber Pkwy, Minneapolis, MN 55412-1747
Phone: 7635815750

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 Hillmont Ave, Ventura, CA 930031651 8056526000
870 Grand Ave, Saint Paul, MN 551053291 6513265650

Other Providers JESSICA KOLB

NPI Name Taxonomy Address Enumeration
1922570761 Jessica Kolb Registered Nurse 301 Coronado Dr Apt 1019, Denton, TX 76209-0972 2018-12-18

Office Location

Street Address 4209 WEBBER PKWY
City MINNEAPOLIS
State MN
Zip Code 55412-1747

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City MINNEAPOLIS
Zip Code 55412

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Dataset Information

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.

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