JAKOB RODRIGUEZ (NPI# 1518421494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518421494 |
| Entity Type | Individual |
| Full Name | JAKOB RODRIGUEZ |
| Practice Address |
2311 Thunder Gulch Rd Montgomery IL 60538-3442 |
| Practice Telephone | 8152096360 |
| Mailing Telephone | 8152096360 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| 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 | Student, Health Care |
| Street Address |
2311 THUNDER GULCH RD |
| City | MONTGOMERY |
| State | IL |
| Zip Code | 60538-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447594296 | Kristina Nancy Hajek | Physician Assistant | 1851 Douglas Road, Montgomery, IL 60538 | 2012-11-17 |
| 1003025248 | Matthew Thomas Neu | Preventive Medicine | 325 Route 31, Caterpillar Inc, Medical Division, Montgomery, IL 60538 | 2007-05-22 |
| 1477761567 | West Suburban Dental Care, Ltd. | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-20 |
| 1093834079 | David D Leger | Chiropractor | 2100 Baseline Rd, Montgomery, IL 60538 | 2007-03-28 |
| 1790816650 | Tina Elizabeth Sunderland | Specialist/Technologist | 22 Ashlawn Ave, Montgomery, IL 60538 | 2007-03-09 |
| 1720126535 | Nicholas George Tzanetakos | Family Medicine | 99 Boulder Hill Pass, Montgomery, IL 60538 | 2007-02-02 |
| 1184638603 | Neil Stewart Schlupp | Chiropractor | 212 Webster Street, Montgomery, IL 60538 | 2006-07-28 |
| 1275570061 | Ridge Ambulance Service Inc | Ambulance | 1851 Aucutt Rd, Montgomery, IL 60538 | 2006-06-01 |
| 1487855839 | Linda Gioia Arrich | Dentist | 1901 Douglas Rd, Montgomery, IL 60538 | 2007-05-31 |
| 1750508339 | Michael Harry Kontos | Dentist | 20 Boulder Hill Pass, Montgomery, IL 60538 | 2007-04-18 |
| Find all providers in zip 60538 | ||||
| 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 |
|---|---|---|---|---|
| 1366054496 | Marc Simon | Student in an Organized Health Care Education/Training Program | 7866 Taylor Park Rd Apt G, Montgomery, AL 36117-4769 | 2020-08-19 |
| 1275153892 | Sayyeda Ann Uz Zahra | Student in an Organized Health Care Education/Training Program | 2055 East South Blvd. Suite 202, Uab Montgomery, Montgomery, AL 36116 | 2020-04-23 |
| 1154941839 | Asma Aqib | Student in an Organized Health Care Education/Training Program | Internal Medicine Residenc Program, 2055 E South Blvd, Suite 200, University of Alabama, Sc, Montgomery, AL 36116-2002 | 2020-04-22 |
| 1942839592 | Alexandra Morgan Holmes | Student in an Organized Health Care Education/Training Program | 61 Richardson Ct, Montgomery, NY 12549-1981 | 2020-04-06 |
| 1285268540 | Sterling Escoto | Student in an Organized Health Care Education/Training Program | 221 Beaver Dam Rd, Montgomery, NY 12549-2849 | 2020-02-26 |
| 1861022378 | Andrei Leonid Znamenski | Student in an Organized Health Care Education/Training Program | 3403 Milan Dr, Montgomery, AL 36109-3711 | 2020-01-23 |
| 1265062772 | Zuri Amanda Foster | Student in an Organized Health Care Education/Training Program | 6427 Alred Ct, Montgomery, AL 36117-4745 | 2020-01-23 |
| 1194355602 | Latarius Oliver | Student in an Organized Health Care Education/Training Program | 607 Moonlight Ct, Montgomery, AL 36117-3974 | 2020-01-23 |
| 1699305110 | Christopher Landon Baker | Student in an Organized Health Care Education/Training Program | 3043 Pinehaardt Dr, Montgomery, AL 36109-2160 | 2020-01-23 |
| 1730719246 | Bhumika Patel | Student in an Organized Health Care Education/Training Program | 5837 Monticello Dr, Montgomery, AL 36117-1987 | 2020-01-23 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 60538 |
Please comment or provide details below to improve the information on JAKOB RODRIGUEZ.
| 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.