JACOB J DUTCHER (NPI# 1093888760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093888760 |
| Entity Type | Individual |
| Full Name | JACOB J DUTCHER |
| Credential | CRNA |
| Practice Address |
427 Guy Park Ave Amsterdam NY 12010-1064 |
| Practice Telephone | 5187707518 |
| Practice Fax Number | 5187707570 |
| Mailing Telephone | 5187707518 |
| Mailing Fax Number | 5187707570 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 541845-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619000999 | Jacob R Dutcher | Internal Medicine | 1200 Sixth Ave N, St Cloud, MN 56303-2735 | 2007-03-14 |
| Street Address |
427 GUY PARK AVE |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010-1064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914043 | Kathleen Ann Miller | Dietitian, Registered | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2005-07-06 |
| 1730792748 | Melissa Kopf | Dietitian, Registered | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2020-08-28 |
| 1982241030 | Regina Marie Breton | Physical Medicine & Rehabilitation | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2019-12-09 |
| 1548806367 | Karen Mcgillin | Physical Therapist | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2019-11-27 |
| 1750871083 | David A Ermacor | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2018-05-11 |
| 1871025007 | Anjan Venkata Marella | Psychiatry & Neurology | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-03-28 |
| 1730628751 | Elisabeth Ryan Penree | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2017-02-23 |
| 1932656089 | Kathryn Kuebler | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010 | 2016-09-07 |
| 1013463686 | Chelsea Centurioni | Physician Assistant | 427 Guy Park Ave, Amsterdam, NY 12010-1064 | 2016-09-01 |
| 1912368432 | St Mary's Hospital | General Acute Care Hospital | 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 2016-03-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
| 1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
| 1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
| 1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
| 1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
| 1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
| 1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
| 1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
| 1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
| 1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
| Find all providers in zip 12010 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788581 | Chioma Ukachi Nwankwo | Nurse Anesthetist, Certified Registered | 835 Blooming Grove Tpke Apt 173, New Windsor, NY 12553-8163 | 2020-07-27 |
| 1528603230 | Catherina Luisa Stevens | Nurse Anesthetist, Certified Registered | 122 Day Spring Ct, Schenectady, NY 12306-3344 | 2019-11-18 |
| 1669021705 | Tahela Davidov | Nurse Anesthetist, Certified Registered | 27005 76th Ave # 11040, New Hyde Park, NY 11040-1402 | 2019-09-11 |
| 1588121792 | Aisha Powell | Nurse Anesthetist, Certified Registered | 2132 Wallace Ave Apt 246, Bronx, NY 10462-2504 | 2019-02-23 |
| 1144786765 | Michelle Giannetti | Nurse Anesthetist, Certified Registered | 1900 Empire Blvd # 221, Webster, NY 14580-1934 | 2019-02-19 |
| 1023591286 | Hans K Hoogs | Nurse Anesthetist, Certified Registered | 550 1st Ave Dept Of, New York, NY 10016-6402 | 2018-09-12 |
| 1639655475 | Julian Piazzola | Nurse Anesthetist, Certified Registered | 5843 59th St, Maspeth, NY 11378-3246 | 2018-07-16 |
| 1235622572 | Kathleen T Hipp | Nurse Anesthetist, Certified Registered | Nyu Langone Health Tisch Hospital, 550 First Avenue, New York, NY 10016 | 2018-06-12 |
| 1568953149 | Michelle Ng | Nurse Anesthetist, Certified Registered | 550 1st Ave Fl 5, New York, NY 10016-6402 | 2018-05-19 |
| 1164921326 | Edjona Groysman | Nurse Anesthetist, Certified Registered | 130 Stroud Ave, Staten Island, NY 10312-3244 | 2018-02-02 |
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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.