JAKE THOMAS HOLLEN M.D.
NPI 1457390858
General Practice in Lake Charles, LA

Active since June 04, 2006
4311 SUFFOLK ST, LAKE CHARLES, LA 70605(337) 477-9383 Get Directions Write a Review

NPPES record last updated: August 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jake Thomas Hollen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKE THOMAS HOLLEN M.D. (NPI 1457390858) is an individual general practice provider in Lake Charles, Louisiana, licensed in Louisiana (013982) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1457390858
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJAKE THOMAS HOLLENCredential: M.D.
Location Address4311 SUFFOLK STLake Charles, LA 70605-3936
Mailing Address4311 Suffolk StLake Charles, LA 70605-3936 · (337) 477-9383
Sole ProprietorYes
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 18, 2010
NPI 1457390858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in LA · 013982
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4311 SUFFOLK ST, Lake Charles, LA 70605

Other Identifiers 3

Medicare ID-Type Unspecified53683
Medicare UPINC67572
Medicaid1373150LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Hollen's NPI number?

The NPI number for Jake Hollen is 1457390858. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Jake Hollen located?

Jake Hollen practices at 4311 Suffolk St, Lake Charles, LA 70605. The listed phone number is (337) 477-9383.

What is Jake Hollen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jake Hollen was last updated on August 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.