MOLLY C JACOBSON (NPI# 1669531448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669531448 |
| Entity Type | Individual |
| Full Name | MOLLY C JACOBSON |
| Credential | PA-C |
| Practice Address |
3111 Gundersen Dr Onalaska WI 54650-8447 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087827300 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2086 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2001030169 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421302 | Molly Jacobson | Speech-Language Pathologist | 2064 Woodbury Ave Ste 204, Newington, NH 03801-2808 | 2019-11-07 |
| 1962068023 | Molly Katherine Jacobson | Behavior Technician | 225 Eagle St, Anchorage, AK 99501-2626 | 2019-05-14 |
| 1356742381 | Molly Jacobson | Social Worker | 5500 S Sycamore St, Littleton, CO 80120-8201 | 2014-09-09 |
| 1457449068 | Molly Jacobson | Counselor | 7513 Court Street, Elizabethtown, NY 12932 | 2006-10-10 |
| Street Address |
3111 GUNDERSEN DR |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-8447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959735 | James H Munn | Internal Medicine | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2005-06-01 |
| 1487260170 | Amber Schroeder | Pharmacist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2020-09-18 |
| 1386288728 | Donna Mcbride | Massage Therapist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2019-10-29 |
| 1679126890 | Hilary Anne Conn | Advanced Practice Midwife | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2019-07-17 |
| 1073177705 | Sam Adam Mason | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2019-04-29 |
| 1295217636 | Barry Jean Stahl | Nurse Practitioner | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-09-01 |
| 1790270601 | Jessica L Spindler | Physician Assistant | 3111 Gundersen Dr, Onalaska, WI 54650 | 2018-06-25 |
| 1699264911 | Dustin Billups | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-05-02 |
| 1568969681 | Leisha Helgerson | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-04-06 |
| 1700393451 | Kristin Mull | Specialist/Technologist | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2018-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871630947 | Nsu Inc | Physician Assistant | 1800 E Main St, Onalaska, WI 54650-7707 | 2007-01-30 |
| 1790270601 | Jessica L Spindler | Physician Assistant | 3111 Gundersen Dr, Onalaska, WI 54650 | 2018-06-25 |
| 1760904288 | Katelyn N Kozelka | Physician Assistant | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2017-07-17 |
| 1528517687 | Korey James Jaminski | Physician Assistant | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2016-09-29 |
| 1871774547 | Michael Patrick Flanagan | Physician Assistant | 2727 Midwest Dr, Onalaska, WI 54650-6758 | 2007-11-21 |
| 1376548768 | James L Tomlin | Physician Assistant | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093348542 | Christopher Sean Lanctin | Physician Assistant | 557 N 17th St Apt 310, Milwaukee, WI 53233-2128 | 2020-02-12 |
| 1750936068 | Javier Eugenio Font | Physician Assistant | 813 N Clover Ln, Cottage Grove, WI 53527-9433 | 2019-08-04 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1588225544 | Hannah Elizabeth Krum | Physician Assistant | S80w17784 Brennan Dr, Muskego, WI 53150-8828 | 2019-06-21 |
| 1255825162 | Katelyn Marie Frankwick | Physician Assistant | 1011 E Spruce St # 6, Abbotsford, WI 54405-9647 | 2018-06-15 |
| 1831644228 | Megan E Nelson | Physician Assistant | 221 E Mills Dr, Lake Mills, WI 53551-1910 | 2016-08-16 |
| 1356717904 | Amy Hermus | Physician Assistant | 451 Butternut Dr, Oregon, WI 53575-1349 | 2015-08-18 |
| 1497168066 | Alexander J Hill | Physician Assistant | 1111 North Road, Mauston, WI 53948-0700 | 2014-06-11 |
| 1487083242 | Andrew John Miller | Physician Assistant | 1521 Lakeview Ave, Wausau, WI 54401-6168 | 2013-11-02 |
| 1386944502 | Bethany Rose Yard | Physician Assistant | 18601 Lincoln Street, Whitehall, WI 54773 | 2010-10-22 |
| 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.