DR. JACOB EDWARD TELLIER (NPI# 1780985432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780985432 |
| Entity Type | Individual |
| Full Name | DR. JACOB EDWARD TELLIER |
| Credential | MD |
| Practice Address |
601 E Rollins St Orlando FL 32803-1248 |
| Mailing Address |
2600 Westhall Ln Fl 4 Maitland FL 32751-7102 |
| Practice Telephone | 4073039649 |
| Practice Fax Number | 4072004947 |
| Mailing Telephone | 4073039649 |
| Mailing Fax Number | 4072004947 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2019-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME 123702 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
601 E ROLLINS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295739522 | David Kos | Radiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-05-23 |
| 1063013845 | Samuel Acosta | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-11-06 |
| 1972110641 | Laura Nazario | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-28 |
| 1710593561 | Ambber Marie Harms | Advanced Practice Midwife | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-09-17 |
| 1598375628 | Brent Windrow | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-04 |
| 1689284929 | Brianne Beacham | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-08-02 |
| 1205444569 | Jamie Matthew Litteral | Pharmacist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-07-22 |
| 1639794761 | Idna Angervil | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-06-15 |
| 1316567597 | Bryn Nadeau | Occupational Therapist | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| 1457971665 | Brooke Ashley Koopman | Registered Nurse | 601 E Rollins St, Orlando, FL 32803-1248 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053668228 | Lifeline Vascular Center of South Orlando, LLC | Radiology | 1511 Sligh Blvd, Suite A, Orlando, FL 32806-3959 | 2012-08-07 |
| 1790095156 | American Access Care of Orlando LLC | Radiology | 80 W Michigan St, Orlando, FL 32806-4453 | 2010-10-19 |
| 1699971267 | Adam Steven Bracha | Radiology | 13800 Veterans Way, Orlando, FL 32827-7401 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1548879794 | Vascular Specialist of Venice and Sarasota Pl | Radiology | 6600 University Parkway, #102, Sarasota, FL 34240 | 2020-07-23 |
| 1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
| 1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
| 1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
| 1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
| 1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
| 1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACOB EDWARD TELLIER.
| 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.