JACOB RICHARDSON (NPI# 1356897367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356897367 |
Entity Type | Individual |
Full Name | JACOB RICHARDSON |
Practice Address |
12430 Heimberger Rd Nw Baltimore OH 43105-9343 |
Practice Telephone | 6143151176 |
Enumeration Date | 2016-08-30 |
Last Update Date | 2016-08-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 390200000X | Student in an Organized Health Care Education/Training Program | UA628052 | OH | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487738738 | Jacob Hugh Richardson | Psychiatry & Neurology | 6900 Georgia Ave Nw, Washington, DC 20307-0003 | 2006-10-24 |
Street Address |
12430 HEIMBERGER RD NW |
City | BALTIMORE |
State | OH |
Zip Code | 43105-9343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477798726 | Liberty Union Thurston Schools | Local Education Agency (LEA) | 1108 South Main Street, Baltimore, OH 43105 | 2008-12-15 |
1194973222 | Rem Ohio,inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 370 Bickel Church Road, Baltimore, OH 43105 | 2008-09-03 |
1215058961 | Jeffrey Alan Harris | Technician/Technologist | 220 N Basil St, Baltimore, OH 43105-1004 | 2007-04-02 |
1306017314 | Patrick L Rankin Dds & Assoc LLC | Dentist | 1317 W Market St, Baltimore, OH 43105-1044 | 2008-03-18 |
1629046354 | Patrick L Rankin | Dentist | 1317 W Market St, Baltimore, OH 43105-1044 | 2006-03-09 |
1932745221 | Melissa Suzanne Massey-smith | Licensed Practical Nurse | 1120 W Washington St, Baltimore, OH 43105-1158 | 2019-11-21 |
1265699763 | Basil Joint Fire District | Ambulance | 410 W Washington St, Baltimore, OH 43105-1192 | 2008-05-21 |
1891318242 | Amy R Hargett | Pharmacist | 114 N Main St, Baltimore, OH 43105-1210 | 2020-05-20 |
1609889575 | Medicine Shoppe 2000 LLC | Pharmacy | 114 N Main St, Baltimore, OH 43105-1210 | 2006-08-14 |
1659374700 | Tarun Mehra | Internal Medicine | 1055 W Market St, Ste H, Baltimore, OH 43105-1283 | 2005-05-23 |
Find all providers in zip 43105 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355879 | Cristina Diana Ghinda | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St Bldg 8, Baltimore, MD 21287-0005 | 2020-10-27 |
1265043160 | Kathryn Ann Ritchie | Student in an Organized Health Care Education/Training Program | 1750 E Fairmount Ave Dept Of, Baltimore, MD 21231-1534 | 2020-08-13 |
1053929372 | Rod Guerrero Salgado | Student in an Organized Health Care Education/Training Program | 140 N Luzerne Ave, Baltimore, MD 21224-1147 | 2020-07-22 |
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
1649897158 | Michael William Mikula | Student in an Organized Health Care Education/Training Program | Pathology Bldg., Rm. 401, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-06-30 |
1154948743 | Kamilah S Brown | Student in an Organized Health Care Education/Training Program | 437 E Lorraine Ave, Baltimore, MD 21218-4713 | 2020-06-29 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1467077479 | Nashedra Barry | Student in an Organized Health Care Education/Training Program | 301 N Charles St Apt M1, Baltimore, MD 21201-4397 | 2020-06-15 |
1205451804 | Ryan Robert Keoni Ingle | Student in an Organized Health Care Education/Training Program | 29 S Greene St Ste 400, Baltimore, MD 21201-1504 | 2020-06-10 |
Find all providers in BALTIMORE |
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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.