JESSE ANDERSON


Address: 1001 N Country Club Rd, Ada, OK 74820-2847
Phone: 5804214570

JESSE ANDERSON (NPI# 1497835474) 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) 1497835474
Entity Type Individual
Full Name JESSE ANDERSON
Practice Address 1001 N Country Club Rd
Ada
OK 74820-2847
Practice Telephone 5804214570
Practice Fax Number 5804216283
Mailing Telephone 5804214570
Mailing Fax Number 5804216283
Enumeration Date 2006-10-16
Last Update Date 2007-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician 7289 OK Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK OK LICENSE 7289 01

Other Providers JESSE ANDERSON

NPI Name Taxonomy Address Enumeration
1609403112 Jesse Anderson Social Worker 1303c Nicholas St, Easton, PA 18045 2020-03-25
1538661186 Jesse Anderson Specialist/Technologist 102 Iverson St W, Saint Joseph, MN 56374-4650 2018-02-28
1518368836 Jesse Anderson Chiropractor 982 N Taylor St, Green Bay, WI 54303-1202 2014-09-05
1164710349 Jesse Lee Anderson Physical Therapist 30 Lawrence Rd Ste 900, Broomall, PA 19008-3301 2011-07-21
1770583080 Jesse Anderson IIi Podiatrist 2401 Godwin Blvd Ste 1, Suffolk, VA 23434-8178 2005-07-28
1750916763 Jesse Michael Anderson Physician Assistant 35 State Ave Ste 1, Faribault, MN 55021-6369 2020-03-10
1578069340 Jesse Paul Anderson Behavioral Analyst 102 Westlake Dr, West Lake Hills, TX 78746-5394 2018-04-02
1629580436 Jesse Anderson Orthopaedic Surgery 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 2017-11-02
1104378215 Jesse Ward Anderson Physician Assistant 207 Foote Ave, Jamestown, NY 14701-7077 2016-10-25
1720333628 Jesse Willis Anderson Registered Nurse 2789 Ortiz Ave, Fort Myers, FL 33905-7806 2012-07-17

Office Location

Street Address 1001 N COUNTRY CLUB RD
City ADA
State OK
Zip Code 74820-2847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164408928 Clint Forrest Physician Assistant 1001 N Country Club Rd, Ada, OK 74820-2847 2005-12-22
1184940926 Bobby Saunkeah Registered Nurse 1001 N Country Club Rd, Ada, OK 74820-2847 2010-04-19
1689810376 Linda Lewis Counselor 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-30
1053557736 Shannon Treat Counselor 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-30
1558507244 Joan Garvin Counselor 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-30
1487899704 Lesli Barrett Physical Medicine & Rehabilitation 1001 N Country Club Rd, Ada, OK 74820-2847 2008-12-16
1770788408 Lyn Page Dentist 1001 N Country Club Rd, Ada, OK 74820-2847 2007-06-21
1164641825 Jenny Simon Physician Assistant 1001 N Country Club Rd, Ada, OK 74820-2847 2007-04-24
1992839211 Melissa Gayle Vavricka-conaway Dietitian, Registered 1001 N Country Club Rd, Ada, OK 74820-2847 2007-03-16
1578627824 Troy Caldwell Anesthesiology 1001 N Country Club Rd, Ada, OK 74820-2847 2006-12-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578103727 Curry Orthopedics and Sports Medicine Pllc Orthopaedic Surgery 919 Colony Drive, Ada, OK 74820 2020-01-15
1215574603 Miranda Denise Bowman Counselor 1300 Hoppe Blvd., Suite 5, Ada, OK 74820 2019-12-04
1326509654 Patricia June Harjo Case Manager/Care Coordinator Nittak Himitta' Women's and Children's Recovery Center, 2024 Te Ata Drive, Ada, OK 74820 2019-03-28
1649737172 Rylee Nikole Leblanc Case Manager/Care Coordinator 1119 S High School St, Ada, OK 74820 2019-02-20
1891251328 David Kinback Rehabilitation Counselor 1400 Hoppe Blvd., Suite 3, Cn Recovery Resource Services, Ada, OK 74820 2019-02-20
1922571009 Central Oklahoma Family Medical Center, Inc. Pharmacy 905 Colony Dr, Ada, OK 74820 2019-01-10
1063988673 Central Oklahoma Family Medical Center, Inc Clinic/Center 905 Colony Drive Bldg, Ada, OK 74820 2018-10-22
1265907885 Apex Surgery Center, LLC Surgery 2001 Cradduck Road, Ada, OK 74820 2018-10-10
1689150898 Sabrina Simmons Social Worker 2516 Oakhurst Dr Apt E, Ada, OK 74820 2018-07-11
1700370467 Brianna Leigh Youngwolfe Nurse Practitioner 2020 Arlington St Ste 6, Ada, OK 74820 2018-06-17
Find all providers in zip 74820

Taxonomy Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770655292 Joni Thomas Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-11-14
1013088616 Tanya Hatter Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-11-13
1871664318 Tara Stick Pharmacy Technician 1007 N Country Club Rd, Ada, OK 74820-2847 2006-11-13
1922189810 Laura Prince Pharmacy Technician 1007 N Country Club Rd, Ada, OK 74820-2847 2006-10-18
1528149440 Glenene Ruth Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-10-18
1992886824 Angela Shaw Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-10-18
1609956366 Tami Davis Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-10-17
1922188515 Angie Estep Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-10-17
1760563050 Dolores Higdon Pharmacy Technician 1007 N Country Club Rd, Ada, OK 74820-2847 2006-10-17
1316027923 Ronda Futischa Pharmacy Technician 1001 N Country Club Rd, Ada, OK 74820-2847 2006-10-17
Find all providers in ADA

Competitor

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City ADA
Zip Code 74820

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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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