JACOB RICHARDSON


Address: 12430 Heimberger Rd Nw, Baltimore, OH 43105-9343
Phone: 6143151176

JACOB RICHARDSON (NPI# 1356897367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Providers JACOB RICHARDSON

NPI Name Taxonomy Address Enumeration
1487738738 Jacob Hugh Richardson Psychiatry & Neurology 6900 Georgia Ave Nw, Washington, DC 20307-0003 2006-10-24

Office Location

Street Address 12430 HEIMBERGER RD NW
City BALTIMORE
State OH
Zip Code 43105-9343

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BALTIMORE
Zip Code 43105

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Dataset Information

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.

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