JENNIFER BACCON (NPI# 1154477081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154477081 |
| Entity Type | Individual |
| Full Name | JENNIFER BACCON |
| Credential | MD |
| Practice Address |
1 Perkins Sq Akron OH 44308-1063 |
| Practice Telephone | 3305435290 |
| Practice Fax Number | 3305435292 |
| Mailing Telephone | (330) 543-5290 |
| Mailing Fax Number | 3305435292 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
35.130570 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1 PERKINS SQ |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216468 | Kerry Leone-quisenberry | Nurse Anesthetist, Certified Registered | 1 Perkins Sq, Akron, OH 44308-1063 | 2005-06-21 |
| 1639778681 | Megan Susanne Foster | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-10-21 |
| 1639781800 | Danielle Marie Standohar | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-19 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1609494517 | Angela Marie Corsi | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-07-07 |
| 1124647516 | Marisa M Mancuso | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-15 |
| 1235768870 | Elizabeth Suzanne Mcinturf | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-06 |
| 1447889142 | Kaitlin Minotti | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1062 | 2020-04-04 |
| 1790314813 | Spencer Jeffrey Gasser | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
| 1992334080 | Rachel Worth | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
| Find all providers in zip 44308 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164644845 | Nicholas Ree | Pathology | 2033 Wilmich Dr, Akron, OH 44319-1226 | 2007-05-03 |
| 1063474500 | Thomas Hlivko | Pathology | 2215 E Waterloo Rd, Ste 313, Akron, OH 44312-3856 | 2006-04-03 |
| 1710304613 | Olubunmi Adejumoke Shoyele | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2014-03-28 |
| 1164735262 | Swati Srivastava | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2010-07-17 |
| 1972815058 | Jason L Lane | Pathology | 400 Wabash Ave, Akron, OH 44307-2433 | 2010-07-06 |
| 1821249178 | Sarah Louise Lott | Pathology | 400 Wabash Ave, Akron, OH 44307-2433 | 2008-10-06 |
| 1831345545 | Kimberly Eickholt | Pathology | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-08-13 |
| 1871750653 | Harry C Kellermier Jr. | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2008-05-20 |
| 1295900017 | Christopher Jude Klonk | Pathology | 1 Perkins Square, Department of Pathology/akron Children's Hospital, Akron, OH 44308-1062 | 2008-04-23 |
| 1124193248 | Silvia Deperalta | Pathology | 525 E Market St, Akron, OH 44304-1619 | 2006-11-22 |
| Find all providers in AKRON | ||||
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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.