JARED B CORNELISON


Address: 3901 Capital Mall Dr Sw, Ste A, Olympia, WA 98502-1178
Phone: 3607868990

JARED B CORNELISON (NPI# 1093068595) 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) 1093068595
Entity Type Individual
Full Name JARED B CORNELISON
Credential PA-C
Practice Address 3901 Capital Mall Dr Sw
Ste A
Olympia
WA 98502-1178
Mailing Address 431 N 15th Ave
Pocatello
ID 83201-4058
Practice Telephone 3607868990
Practice Fax Number 3607869010
Mailing Telephone 2083395726
Enumeration Date 2012-10-22
Last Update Date 2013-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60360929 WA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3901 CAPITAL MALL DR SW
STE A
City OLYMPIA
State WA
Zip Code 98502-1178

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639178361 Daniel Arthur Churches Physical Therapist 3901 Capital Mall Dr Sw, Ste D, Olympia, WA 98502-8654 2005-07-15
1265937379 Nicole Alisha Spencer Registered Nurse 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2018-03-29
1912402397 Kori Ann Dijos Orthopaedic Surgery 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2018-03-27
1902350606 Owen Harris Physician Assistant 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2016-08-10
1376994228 Dana Beth Hooper Physical Therapist 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2016-06-22
1649639709 Katie Jean Walczyk Physical Therapist 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 2016-02-17
1609233527 Camille Haskins Physical Therapist 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2016-01-22
1023494200 Renea Rochelle Atwood Physical Therapy Assistant 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2015-08-10
1770975732 Andrew Cummins Physical Therapy Assistant 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2015-02-28
1629474465 Stephen Burton Physical Therapist 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 2014-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801409172 Fanny Cordero Interpreter 1415 4th Ave W, Olympia, WA 98502 2020-08-26
1235762832 Accessible Living Physical Therapy Clinic/Center 3524 7th Ave Se, Olympia, WA 98502 2020-02-21
1548807738 Kaiser Foundation Health Plan of Washington Pharmacy 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 2019-12-06
1851946388 Katherine Ann Vitela Registered Nurse 4909 Green Wood Dr Sw, Olympia, WA 98502 2019-08-01
1538632658 Carmen Rae Breding Massage Therapist 2627 Capital Mall Dr Se, Olympia, WA 98502 2019-01-11
1285129155 Fook Yee Cheung Genetic Counselor, MS 2010 Caton Way Sw Ste 102, Olympia, WA 98502 2018-06-24
1942724158 William Coburn Specialist/Technologist 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 2017-07-29
1225567415 Thierry Buckner Counselor 2400 Bristol Court Sw, Olympia, WA 98502 2017-06-09
1619406048 Trenton Reid Massage Therapist 2103 Harrison Ave Nw #2642, Olympia, WA 98502 2017-06-08
1962807305 Richa Mehta Dentist 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 2014-10-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649750555 Stephanie Mcclymond Physician Assistant 5519 Donnelly Dr Se, Olympia, WA 98501-5019 2018-08-20
1265972814 Holmes Howard Stoner IIi Physician Assistant 2229 Cooper Crest Pl Nw, Olympia, WA 98502-4079 2017-03-01
1598112054 Jason Nathaniel Shepherd Physician Assistant 1620 Cooper Point Rd Sw Ste 200, Olympia, WA 98502-5736 2016-05-14
1972990281 Ryan David Richards Physician Assistant 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 2015-04-24
1841590502 Barbara Ann Krulich Physician Assistant 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 2010-10-28
1295889087 Brad Goldworm Physician Assistant 2950 Limited Ln Nw, Olympia, WA 98502-4577 2007-01-22
1083723746 Stephen R Fischer Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2006-08-29
1326063462 John Richard Hill Physician Assistant 7125 101st Ave Sw, Olympia, WA 98512-2139 2006-07-12
1164464053 John C Schira Physician Assistant 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 2006-06-12
1205885290 Kathy Lucia Savatini Physician Assistant 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 2006-05-08
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City OLYMPIA
Zip Code 98502

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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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