JACOB M NYGAARD (NPI# 1235330077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235330077 |
| Entity Type | Individual |
| Full Name | JACOB M NYGAARD |
| Credential | C.PED |
| Practice Address |
135 S Main St Marion NC 28752-4548 |
| Mailing Address |
Po Box 975 Marion NC 28752-0975 |
| Practice Telephone | 8286521989 |
| Practice Fax Number | 8286528990 |
| Mailing Telephone | 8286521989 |
| Mailing Fax Number | 8286528990 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795082 | 05 |
| Street Address |
135 S MAIN ST |
| City | MARION |
| State | NC |
| Zip Code | 28752-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009323 | J. Pen Medical, Inc. | Durable Medical Equipment & Medical Supplies | 135 S Main St, Marion, NC 28752-4548 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758810 | Teresa Gay Schism | Technician | 1756 Toms Creek Road, Marion, NC 28752 | 2019-09-04 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1780127548 | Invitation Therapy | Clinic/Center | 364 Us 70 W Ste 3, Marion, NC 28752 | 2016-11-28 |
| 1508311580 | Young Men Christian Association of Western North Carolina | Health Educator | 348 Grace Corpening Drive, Marion, NC 28752 | 2016-08-19 |
| 1417384322 | Cancer Care of Wnc, Pa | Internal Medicine | 430 Rankin Drive, Marion, NC 28752 | 2013-10-09 |
| 1578990875 | Brian Michael Ware | Family Medicine | 5623 Hwy Us 221 South, Marion, NC 28752 | 2013-10-01 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1134367345 | Duramed Equipment LLC | Durable Medical Equipment & Medical Supplies | 2024 Nix Creek Rd, Ste B, Marion, NC 28752 | 2009-01-26 |
| 1326294695 | Mcdowell Hospital | Obstetrics & Gynecology | 1633 Sugar Hill Road, Suite 1, Marion, NC 28752 | 2008-08-18 |
| 1114173382 | Adrienne Stearns Goodfred | Physical Therapist | 44 Pine Top Drive, Marion, NC 28752 | 2008-08-07 |
| Find all providers in zip 28752 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829904 | Darrell Martin | Specialist/Technologist, Other | 209 Hollow Ln, Mt Holly, NC 28120-9652 | 2020-10-22 |
| 1154961100 | Amanda Roberts | Specialist/Technologist, Other | 113 County Line Rd, Tyner, NC 27980-9690 | 2020-01-07 |
| 1841849031 | Brandon Jacoby Everett | Specialist/Technologist, Other | 610 N Fayetteville St Ste 302, Asheboro, NC 27203-4671 | 2019-09-10 |
| 1598204240 | Lorette Robinson | Specialist/Technologist, Other | 17925 Halton Park Dr, 1e, Charlotte, NC 28262-6014 | 2017-02-14 |
| 1902343007 | Tracey Hampton | Specialist/Technologist, Other | 402 Saturn St, Dunn, NC 28334-2704 | 2017-01-26 |
| 1598142440 | Phillip Gary Horton Sr. | Specialist/Technologist, Other | 12152 Moonshadow Ln, Huntersville, NC 28078-6858 | 2015-04-29 |
| 1174914436 | Robyn Barton | Specialist/Technologist, Other | 10616 Metromont Pkwy Ste 106, Charlotte, NC 28269 | 2015-02-09 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1568891364 | Cape Fear Imaging, LLC | Specialist/Technologist, Other | 6361 Ocean Hwy E, Winnabow, NC 28479-5758 | 2013-11-02 |
| 1104128586 | Frank James Anderson | Specialist/Technologist, Other | 2126 Rolling Ridge Dr, Midway Park, NC 28544-1622 | 2010-11-17 |
| Find all providers with the same taxonomy | ||||
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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.