JASON THEODORE


Address: 4615 Meredeth St Apt 6, Lincoln, NE 68506-4973
Phone: 3474491387

JASON THEODORE (NPI# 1629535521) 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) 1629535521
Entity Type Individual
Full Name JASON THEODORE
Practice Address 4615 Meredeth St Apt 6
Lincoln
NE 68506-4973
Practice Telephone 3474491387
Mailing Telephone 3474491387
Enumeration Date 2019-02-27
Last Update Date 2019-09-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 4615 MEREDETH ST APT 6
City LINCOLN
State NE
Zip Code 68506-4973

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058861 Christine Ruth Bergman Dentist 2121 S 70th Street, Lincoln, NE 68506 2020-06-19
1881218428 South Lincoln Family Dentistry LLC Dentist 2121 S. 70th Street, Lincoln, NE 68506 2020-05-29
1982235883 Dermatology Associates of Lincoln, LLC Dermatology 6969 South Street, Lincoln, NE 68506 2020-01-29
1609343052 Advanced Medical Imaging Surgery Center, LLC Clinic/Center 7555 Pioneers Blvd, Lincoln, NE 68506 2018-10-24
1912484064 Knaub Counseling Services, Inc. Counselor 1919 S 40th St Ste 312, Lincoln, NE 68506 2018-07-22
1073004586 Navigate LLC Clinic/Center 4535 Normal Blvd Ste 142, Lincoln, NE 68506 2018-05-21
1346761053 Ewonubari Kehinde Erekere Kats Registered Nurse 1500 S. 70th Street, 104, Lincoln, NE 68506 2017-07-03
1871013300 Jennifer N Miller Registered Nurse 1500 S 48th Street, Suite 800, Lincoln, NE 68506 2017-06-26
1407393143 Samantha Wilson Specialist/Technologist 1900 Broadmoore Drive, Lincoln, NE 68506 2017-01-19
1588119283 Doctors Outpatient Surgery Center Clinic/Center 5055 A St, Suite 100, Lincoln, NE 68506 2016-08-23
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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
1619580156 Alana M Oster Physician Assistant 129 Chapel St, Lincoln, RI 02865-2119 2020-08-25
1871143891 Ashley Moreau Physician Assistant 4 Lauretta Ln, Lincoln, RI 02865-1338 2019-09-12
1013574862 Erin Grace Dragoo Physician Assistant 2310 Wesley Dr, Lincoln, NE 68512-3704 2019-05-28
1144674276 Austin Bryce Henslee Physician Assistant 575 S 70th St Ste 310, Lincoln, NE 68510 2016-04-14
1790163814 Mary Elizabeth Tucker Physician Assistant 1500 S 48th St., Suite 800, Lincoln, NE 68506-1200 2015-05-08
1942542790 Linda Denise Corr Physician Assistant 4451 N 26th St Ste 1000, Lincoln, NE 68521-4144 2013-03-20
1669734794 Kimberly Kathryn Piening Physician Assistant 1101 S 70th St Ste 100, Lincoln, NE 68510-4293 2012-06-14
1548521933 Terumi Degraw Physician Assistant 1715 S 26th St, Lincoln, NE 68502-3061 2012-06-02
1609103415 Kristen Alyce Bruening Physician Assistant 8550 Cuthills Cir, Lincoln, NE 68526-9474 2009-11-16
1033445515 Mabelle Labitoria Physician Assistant 1021 No. 27th Street, People's Health Center, Lincoln, NE 68503 2009-10-19
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Competitor

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City LINCOLN
Zip Code 68506

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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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