DR. JACOB KEITH CRITTENDEN III (NPI# 1376931105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376931105 |
| Entity Type | Individual |
| Full Name | DR. JACOB KEITH CRITTENDEN III |
| Credential | MD |
| Practice Address |
621 Tusculum Ave Cincinnati OH 45226-1771 |
| Practice Telephone | 7022322336 |
| Practice Fax Number | 7026463243 |
| Mailing Telephone | 7022322336 |
| Mailing Fax Number | 7026463243 |
| Enumeration Date | 2015-01-01 |
| Last Update Date | 2015-01-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | ME 86453 | FL | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 16223 | KY | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 35.043691 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
621 TUSCULUM AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45226-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956585 | Jennifer Carrie Flick | Home Health Aide | 3711 Hutton St, Cincinnati, OH 45226 | 2017-07-28 |
| 1598152399 | Leslie Kokotek | Speech-Language Pathologist | 3555 Handman Ave Apt 304, Cincinnati, OH 45226 | 2015-04-20 |
| 1457769275 | Alexis Sink Hutchison | Physical Therapist | 5210 Wooster Rd, Cincinnati, OH 45226 | 2014-07-24 |
| 1942503453 | Jan Renae Norton | Psychologist | 793 Delta Ave, Cincinnati, OH 45226 | 2010-12-06 |
| 1760681811 | Karen Elizabeth Haberthier | Internal Medicine | 2925 Vernon Place, Suite 100, Cincinnati, OH 45226 | 2007-07-17 |
| 1982826889 | Sara M. Mills | Psychologist | 3200 Linwood Avenue, Cincinnati, OH 45226 | 2007-05-02 |
| 1700954013 | Kathryn R Kuykendal | Counselor | 820 Delta Avenue, Cincinnati, OH 45226 | 2006-12-04 |
| 1790159457 | National Birth Centers, Inc | Clinic/Center | 3033 Riverside Dr, Cincinnati, OH 45226-1051 | 2015-11-18 |
| 1083637706 | James Kevin Hackett | Radiology | 2943 Eastern Ave, Cincinnati, OH 45226-1066 | 2006-07-25 |
| 1053603514 | Andrea Jean Holinga | General Practice | 625 Athens Ave, Cincinnati, OH 45226-1113 | 2011-05-03 |
| Find all providers in zip 45226 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699063057 | Shahryar Tork | Plastic Surgery | 4850 Red Bank Rd Fl 2, Cincinnati, OH 45227 | 2011-07-19 |
| 1083914774 | Som N Tandon Md Inc | Plastic Surgery | 3551 Springdale Rd, Cincinnati, OH 45251-1343 | 2010-10-27 |
| 1861723280 | Maier Plastic Surgery, Inc. | Plastic Surgery | 3805 Edwards Rd Ste 100, Cincinnati, OH 45209-1939 | 2010-01-25 |
| 1811080120 | Som Nath Tandon | Plastic Surgery | 3551 Springdale Road, Cincinnati, OH 45251 | 2006-10-02 |
| 1699794685 | Daniel G. Kuy | Plastic Surgery | 3825 Edwards Rd Ste 550, Cincinnati, OH 45209-1149 | 2006-07-19 |
| 1982680039 | Joseph J Moravec | Plastic Surgery | 1130 Congress Avenue, Cincinnati, OH 45246-4427 | 2005-12-21 |
| 1780669226 | Ann R Schwentker | Plastic Surgery | 3333 Burnet Ave., Ml 2020, Cincinnati Children's Hospital, Cincinnati, OH 45229-3039 | 2005-12-07 |
| 1265413868 | Leonard Joshua Singer | Plastic Surgery | 4120 Locust Ln, Cincinnati, OH 45242-6027 | 2005-11-10 |
| 1316330962 | Kuy Plastic Surgery Inc | Plastic Surgery | 3825 Edwards Rd Ste 550, Cincinnati, OH 45209-1149 | 2015-03-06 |
| 1609286947 | Jose Berger | Plastic Surgery | 3723 Hauck Rd, Elite Plastic Surgery Center, Cincinnati, OH 45241 | 2014-05-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45226 |
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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.