MR. DAVID MICHAEL JACONSKI (NPI# 1306063300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306063300 |
| Entity Type | Individual |
| Full Name | MR. DAVID MICHAEL JACONSKI |
| Credential | ATC |
| Practice Address |
500 Hioaks Rd Richmond VA 23225 |
| Mailing Address |
1430 Palmore Rd Powhatan VA 23139 |
| Practice Telephone | 8045606518 |
| Mailing Telephone | 8044033636 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0126000365 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 HIOAKS RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188986 | Douglas N Cutter | Family Medicine | 500 Hioaks Rd, Suite A, Richmond, VA 23225-4061 | 2005-10-20 |
| 1942593405 | Mary P Holc | Nurse Practitioner | 500 Hioaks Rd, Suite B, Richmond, VA 23225-4061 | 2011-05-17 |
| 1730492562 | Jason Alexander Doctor | Specialist/Technologist | 500 Hioaks Rd, Richmond, VA 23225-4061 | 2010-07-21 |
| 1457538530 | Shawntessa Marie Dejesus | Specialist/Technologist | 500 Hioaks Rd, Richmond, VA 23225-4061 | 2008-01-30 |
| 1770768988 | Cjw Medical Center | General Acute Care Hospital | 500 Hioaks Rd, Suite A, Richmond, VA 23225-4061 | 2008-01-07 |
| 1952597254 | Kristin Leigh Sampson | Specialist/Technologist | 500 Hioaks Rd, Suite A, Richmond, VA 23225-4061 | 2007-09-20 |
| 1992917041 | Patricia Sunko-imhof | Dietitian, Registered | 500 Hioaks Rd, Richmond, VA 23225-4061 | 2007-05-03 |
| 1124136973 | Natalia S Denisko | Family Medicine | 500 Hioaks Rd, Suite B, Richmond, VA 23225-4061 | 2006-08-29 |
| 1962422048 | Carol J Szuchy | Occupational Therapist | 500 Hioaks Rd, Suite B, Richmond, VA 23225-4061 | 2006-07-20 |
| 1992739940 | Laura A Sirrine | Specialist/Technologist | 500 Hioaks Rd, Suite A, Richmond, VA 23225-4061 | 2006-07-10 |
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|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1659996023 | Amira Transport Inc. | Non-emergency Medical Transport (VAN) | 7400 Beaufont Springs Drive, Suite 300, North Chesterfield, VA 23225 | 2020-06-11 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1619522000 | Spring Transport Inc | Non-emergency Medical Transport (VAN) | 2418 W Tremont Ct, Richmond, VA 23225 | 2019-08-02 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1760977540 | Marchett Hopkins | Counselor | 1601 Skilift Ln, Richmond, VA 23225 | 2018-06-25 |
| 1821582644 | Infinite Solutions Behavioral Services, LLC | Case Management | 6946 Forest Hill Ave Suite B, Richmond, VA 23225 | 2018-06-15 |
| 1922595230 | Andrea Ruth Steegmayer | Registered Nurse | Vcu Health System, 1250 E. Marshall Street, Richmond, VA 23225 | 2018-04-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| Find all providers in zip 23225 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1386274454 | Josie Mcmahon | Specialist/Technologist | 2005 E Franklin St Apt 320, Richmond, VA 23223-7461 | 2020-01-17 |
| 1699311910 | Halley Crum | Specialist/Technologist | 2325 Chester Blvd, Richmond, IN 47374-1220 | 2019-11-21 |
| 1083260251 | Nicole Elizabeth Valdecanas | Specialist/Technologist | 6718 Little Haven Ct, Richmond, TX 77469-9861 | 2019-08-14 |
| 1194282459 | Alyson Joy Buehler | Specialist/Technologist | 634b Hampton Way, Richmond, KY 40475-8234 | 2019-02-22 |
| 1811454374 | Kendall Braunreiter | Specialist/Technologist | 17302 Hanoverian Dr, Richmond, TX 77407-2710 | 2019-02-20 |
| 1760946545 | Fiona Lefresne | Specialist/Technologist | 221 S 48th St, Richmond, IN 47374-6044 | 2019-01-26 |
| Find all providers in RICHMOND | ||||
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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.