JACOB DALE MASTERS (NPI# 1073070884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073070884 |
Entity Type | Individual |
Full Name | JACOB DALE MASTERS |
Practice Address |
2706 Flowerstone Dr Dayton OH 45449-3217 |
Mailing Address |
2706 Flowerstone Dr West Carrollton OH 45449-3217 |
Practice Telephone | 9374228598 |
Mailing Telephone | 9374228598 |
Enumeration Date | 2019-02-28 |
Last Update Date | 2019-02-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174200000X | Meals | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0317945 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2706 Flowerstone Dr, Dayton, OH 454493217 | 9374228598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629419460 | Jacob Matthew Esham Masters | Dentist | 104 Lafollette Sta S, Floyds Knobs, IN 47119-9772 | 2013-07-09 |
1326242157 | Jacob Lee Masters | Dentist | 191 Us Highway 31 S, Ste 1, Greenwood, IN 46142-3582 | 2007-06-14 |
Street Address |
2706 FLOWERSTONE DR |
City | DAYTON |
State | OH |
Zip Code | 45449-3217 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114559697 | Charles D'imperio | Pharmacist | 2921 W Alexbell Rd, Moraine, OH 45449 | 2020-02-12 |
1588166037 | Jennifer Bennett | Counselor | 100 Elmwood Park Dr. Suite 201, Dayton, OH 45449 | 2018-03-01 |
1992978597 | Joni Diane Draut | Registered Nurse | 2619 Marigold Dr., Dayton, OH 45449 | 2008-04-04 |
1558582205 | Barbara E. Shanahan | Contractor | 510 Richie Drive, West Carrollton, OH 45449 | 2007-05-01 |
1124166475 | Nadine K Hubley | Chiropractor | 1615 S Alex Rd, Dayton, OH 45449 | 2007-02-01 |
1720171481 | Pharmacy Operations, Inc. | Pharmacy | 1919 S Alex Rd, W Carrollton, OH 45449 | 2006-10-02 |
1326039736 | Summit Ohio Leasing Co., LLC | Skilled Nursing Facility | 3800 Summit Glen Drive, Dayton, OH 45449 | 2005-11-03 |
1649881731 | Lindsey Catherine Tremblay | Pharmacist | 5901 Springboro Pike, Dayton, OH 45449 | 2020-08-12 |
1841615598 | Rosalyn Suprenant | Registered Nurse | 430 E Pease Ave, West Carrollton School District, West Carrollton, OH 45449 | 2014-03-04 |
1285928408 | Amanda J Robinett | Registered Nurse | 5932 Springboro Pike, Dayton, OH 45449 | 2011-06-06 |
Find all providers in zip 45449 |
Taxonomy Code | 174200000X |
Grouping | Other Service Providers |
Classification | Meals |
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |
Notes: Source: SD DSS Non-Emergency Medical Transportation program Transportation Services [7/1/2010: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831718212 | A L Anderson House Ltd | Meals | 238 Audubon Park, Dayton, OH 45402-6312 | 2020-04-15 |
1760046213 | Ronald Mcdonald House of The Miami Valley Region | Meals | 555 Valley St, Dayton, OH 45404-1844 | 2019-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598372245 | Rise House, The | Meals | 538 Tallmadge Rd, Cuyahoga Falls, OH 44221-4009 | 2020-09-28 |
1649880709 | La Sensitive Kisses&touches Homecare LLC | Meals | 7893 Clovernook Ave Apt 2905, Cincinnati, OH 45231-3554 | 2020-08-04 |
1689219867 | Not Forsaken | Meals | 2225 7th St Nw, Canton, OH 44708-4303 | 2019-11-12 |
1346892080 | 1st Care Home Health | Meals | 8030 Reading Rd Ste 3, Cincinnati, OH 45237-1413 | 2019-07-12 |
1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
1629536230 | Ronald Mcdonald House Charities of Greater Cincinnati | Meals | 341 Erkenbrecher Ave, Cincinnati, OH 45229-2806 | 2019-03-04 |
1467918524 | Ams Transport LLC | Meals | 1579 Edgefield Rd, Lyndhurst, OH 44124-2846 | 2019-02-13 |
1427528330 | Ronald Mcdonald House Charities of Central Ohio, Inc | Meals | 711 E Livingston Ave, Columbus, OH 43205-2640 | 2018-12-04 |
1396210076 | Agape Angels | Meals | 1418 Brice Rd Ste 100, Reynoldsburg, OH 43068-2397 | 2018-10-09 |
1255836359 | Another Chance LLP | Meals | 2177 E 80th St, Cleveland, OH 44103-4952 | 2018-03-29 |
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.