DR. JARED YADON KOHLBACHER


Address: 140 Academy St Ste 10, Presque Isle, ME 04769-3102
Phone: 2077643734

DR. JARED YADON KOHLBACHER (NPI# 1386925055) 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) 1386925055
Entity Type Individual
Full Name DR. JARED YADON KOHLBACHER
Credential DPM
Practice Address 140 Academy St Ste 10
Presque Isle
ME 04769-3102
Mailing Address 91 Moose Ridge Rd
Mapleton
ME 04757-4156
Practice Telephone 2077643734
Mailing Telephone (207) 768-8309
Enumeration Date 2011-09-07
Last Update Date 2017-08-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
POD1089 ME Podiatric Medicine & Surgery Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 140 ACADEMY ST STE 10
City PRESQUE ISLE
State ME
Zip Code 04769-3102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811962988 Wendy J Boucher Orthopaedic Surgery 140 Academy St Ste 10, Presque Isle, ME 04769-3102 2006-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871088070 Hong Na Yang Dentist 122 Academy Street, Presque Isle, Presque Isle, ME 04769 2018-06-29
1588185409 Dwight David Hubacher Physical Therapy Assistant 162 Academy Strret, Presque Isle, ME 04769 2017-06-30
1831561562 Vna Home Health & Hospice Home Health 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 2015-10-21
1225439581 A & L Clinical Services Community/Behavioral Health 742 Main Street, Presque Isle, ME 04769 2014-09-05
1568728343 Enrique Octavio Bujanda-morun Surgery Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 2012-04-06
1669659603 Susan Cambridge Dick Occupational Therapist 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 2008-01-22
1285826792 Osama Aziz Internal Medicine 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 2007-08-17
1831220250 Rachel Mary Swartz Obstetrics & Gynecology 140 Academy St Ste 4, Presque Isle, ME 04769 2007-03-08
1114053634 Ralph U Scheidler Social Worker 20 Dyer Street, Community Care, Presque Isle, ME 04769 2007-02-26
1427158716 Venkatram Nethala Internal Medicine 146 Academy Street, Suite 1b, Presque Isle, ME 04769 2006-09-25
Find all providers in zip 04769

Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801992375 Joseph A Greco Podiatrist 95 East Ave, Lewiston, ME 04240 2006-09-15
1275518144 Jessica L Buckner Podiatrist 81 Medical Center Dr, Suite 2100, Brunswick, ME 04011-2690 2005-12-13
1023005378 Dominick Olivo Podiatrist 175 W Broadway, Lincoln, ME 04457-4000 2005-10-03
1518951201 Daniel James Benson Podiatrist 12 Spruce St, Suite #5, Augusta, ME 04330-5204 2005-09-08
1598160301 Podiatry of Northern Maine Podiatrist 22 North St, Houlton, ME 04730-1833 2014-10-23
1679829212 David Thao Podiatrist 529 S Patten Rd, Patten, ME 04765-3007 2012-08-01
1962669556 Melissa Ann Milza Podiatrist 5 Abby Rd, Windham, ME 04062-5513 2008-05-21
1043498744 Richard Steinmetz Dpm Podiatrist 846 Main St, Ste 2, Westbrook, ME 04092-2847 2008-02-05
1538346564 Associated Foot Care Pa Podiatrist 95 East Ave, Lewiston, ME 04240 2008-01-22
1063595817 Richard Steinmetz Podiatrist 980 Forest Ave, Ste 102, Portland, ME 04103-3357 2006-10-23
Find all providers with the same taxonomy

Competitor

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City PRESQUE ISLE
Zip Code 04769

Improve Information

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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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