DR. JACOB HOLLENBECK (NPI# 1952891434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952891434 |
| Entity Type | Individual |
| Full Name | DR. JACOB HOLLENBECK |
| Credential | DO |
| Practice Address |
1921 Stonecipher Dr Ada OK 74820-3439 |
| Practice Telephone | 5804363980 |
| Practice Fax Number | 5804212970 |
| Mailing Telephone | 5804363980 |
| Mailing Fax Number | 5804212970 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033571724 | Jacob Hollenbeck | Nurse Anesthetist, Certified Registered | 3643 N Roxboro St, Durham, NC 27704-2702 | 2016-03-22 |
| Street Address |
1921 STONECIPHER DR |
| City | ADA |
| State | OK |
| Zip Code | 74820-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050291 | Carol Lynn Rhoads | Nurse Anesthetist, Certified Registered | 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820-3439 | 2005-08-18 |
| 1295336683 | Tina S Johnston | Nurse Anesthetist, Certified Registered | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-11-03 |
| 1972125706 | Ana Nguyen Phan | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-05-14 |
| 1932720349 | Tony Glen Wallen | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-27 |
| 1053931840 | Eric Vincent Harris | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-21 |
| 1417581109 | Amy Stepp | Licensed Practical Nurse | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-03-03 |
| 1477185445 | Kimberly D Wilson | Licensed Practical Nurse | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-02-07 |
| 1275174435 | Abby Lynn Crow | Audiologist | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-09-30 |
| 1821648809 | Mercedes Milligan | Counselor | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-09-12 |
| 1447808852 | Shandi Lynn Martin | Counselor | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-08-28 |
| Find all providers in the same location | ||||
| 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 Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609408426 | Mitchell Robert Bond | Student in an Organized Health Care Education/Training Program | 7944 Heather Knls Se, Ada, MI 49301-9203 | 2020-02-10 |
| 1013407105 | Mohammad-asad Buksh Ilahi | Student in an Organized Health Care Education/Training Program | 7768 Thornapple Club Dr Se, Ada, MI 49301-9428 | 2018-05-14 |
| 1538676879 | Harman Kaur | Student in an Organized Health Care Education/Training Program | 4520 Quail Ridge Ct Ne, Ada, MI 49301-8506 | 2018-01-09 |
| 1265949549 | Lauren Clark | Student in an Organized Health Care Education/Training Program | 9801 Fulton St E, Ada, MI 49301-8915 | 2018-01-08 |
| 1578987541 | Logan Faye Anderson | Student in an Organized Health Care Education/Training Program | 7422 County Road 1480, Ada, OK 74820-0531 | 2014-02-12 |
| 1972125706 | Ana Nguyen Phan | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-05-14 |
| 1932720349 | Tony Glen Wallen | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-27 |
| 1053931840 | Eric Vincent Harris | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-21 |
| 1720632771 | Dylan Davis Smith | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-07-29 |
| 1619537784 | Ying Tang | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2019-06-19 |
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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.