MS. JACKIE ELAINE CLOUSE (NPI# 1114146750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114146750 |
| Entity Type | Individual |
| Full Name | MS. JACKIE ELAINE CLOUSE |
| Practice Address |
13231 Butternut Rd Burton OH 44021-9567 |
| Mailing Address |
10005 Knowlton Rd Garrettsville OH 44231-9793 |
| Practice Telephone | 4408341089 |
| Mailing Telephone | 3303221965 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Street Address |
13231 BUTTERNUT RD |
| City | BURTON |
| State | OH |
| Zip Code | 44021-9567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538460340 | Joseph H. Belhobek | Dentist | 14362 North Cheshire Street, Burton, OH 44021 | 2010-11-10 |
| 1013176635 | Justin T Smetana | Home Health Aide | 13790 Spring St, Burton, OH 44021 | 2008-06-09 |
| 1629157888 | Burton Volunteer Fire Department | Ambulance | 13828 Spring St, Burton, OH 44021 | 2006-11-06 |
| 1386747939 | Steven A Horn | Dentist | 14527 N Cheshire St, Burton, OH 44021 | 2006-09-07 |
| 1255595088 | Robert W Blair Dc Inc | Clinic/Center | 14949 Kinsman Rd, Burton, OH 44021 | 2008-07-10 |
| 1164513818 | John L Hardesty Dds Inc | Dentist | 14527 N Cheshire St, Burton, OH 44021 | 2006-09-27 |
| 1699706218 | Thomas James Shepherd | Dentist | 14435 N. Cheshire St., Burton, OH 44021-0477 | 2006-07-05 |
| 1487297032 | Courtney Jean Munn-huesca | Family Medicine | 14525 North Chesire, Burton, OH 44021-4402 | 2019-10-25 |
| 1093130403 | Sara Abi | Registered Nurse | 14525 North Cheshire Street, Burton, OH 44021-4402 | 2014-02-20 |
| 1386767184 | David John Fiala | Social Worker | 11545 Lancaster Dr, Burton, OH 44021-9201 | 2007-04-08 |
| Find all providers in zip 44021 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437551157 | Davley & Associates | Contractor | 500 N Railroad St, Sut. 339, Burton, TX 77835-9202 | 2014-09-24 |
| 1841442688 | Cathy Junelle Blair | Contractor | 2012 Ready Ave, Burton, MI 48529-2056 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487469 | Ingrid York | Contractor | 331 N Walnut St, Ravenna, OH 44266-2325 | 2020-11-07 |
| 1952902538 | Robert Brett | Contractor | 1825 Bur Oak Dr, Westlake, OH 44145-6851 | 2020-11-02 |
| 1588264204 | Jennifer Ann Scholl | Contractor | 2551 Hilton Dr Apt 1, Dayton, OH 45409-1822 | 2020-10-30 |
| 1770183899 | Angela Lakersha Martin | Contractor | 2810 Cyclorama Dr, Cincinnati, OH 45211-8330 | 2020-10-28 |
| 1992303622 | Deborah L Smith | Contractor | 11 E Randy St, New Franklin, OH 44203-4820 | 2020-10-14 |
| 1396343539 | Nijah Nicole Williams | Contractor | 1922 Acorn Dr, Cincinnati, OH 45231-5201 | 2020-10-10 |
| 1750988135 | Willis Amweg | Contractor | 7514 Sawbury Ct, Columbus, OH 43235-1855 | 2020-10-08 |
| 1811594476 | William H Goodson | Contractor | 2288 Tatman Coe Rd, Mc Dermott, OH 45652-8902 | 2020-10-07 |
| 1609473552 | Monica Adesuwa Triplett | Contractor | 1430 Parkside Blvd, Toledo, OH 43607-1507 | 2020-10-05 |
| 1427665827 | Stephane C Cross | Contractor | 775 Bridgeport Ave Apt 306, Streetsboro, OH 44241-4058 | 2020-09-29 |
| 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.