RALPH JACKSON (NPI# 1720107675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720107675 |
| Entity Type | Individual |
| Full Name | RALPH JACKSON |
| Practice Address |
813 Fay Rd Syracuse NY 13219-3009 |
| Mailing Address |
Po Box 494 Syracuse Syracuse NY 13201-0494 |
| Practice Telephone | 3154882831 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 265882 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073763793 | Ralph T Jackson Jr. | Hearing Instrument Specialist | 2015 Palmyra Rd, Albany, GA 31701-1576 | 2008-09-30 |
| 1558467043 | Ralph A Jackson | Internal Medicine | 4390 Pleasant Hill Rd Ste D, Duluth, GA 30096-8054 | 2006-09-15 |
| 1558312637 | Ralph K. Jackson | Ophthalmology | 1727 Amsterdam Ave, 3rd Floor, New York, NY 10031-4611 | 2006-05-13 |
| 1104817154 | Ralph Dudley Jackson IIi | Dentist | 1400 Metro Dr, Alexandria, LA 71301-3451 | 2005-10-31 |
| 1750377271 | Ralph H Jackson | Optometrist | 105 Dawson St, Edinburg, TX 78539-6401 | 2005-09-20 |
| 1508869231 | Ralph L Jackson | Dentist | 105 Highland Ave, Cornelia, GA 30531-4366 | 2005-05-26 |
| 1669950614 | Ralph Norman Jackson Jr. | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2018-08-01 |
| 1033131446 | Ralph Jackson | Emergency Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-07-24 |
| 1609867522 | Ralph Dudley Jackson Jr. | Dentist | 1400 Metro Dr, Suite B, Alexandria, LA 71301-3451 | 2005-10-31 |
| Street Address |
813 FAY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538110879 | Annie M Kelly | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-05-12 |
| 1942831177 | Emily Dipaola | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-27 |
| 1295375699 | Denise W Ambrose | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-14 |
| 1710527254 | Jesse L Peck | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-13 |
| 1578076071 | Anna Kathryn Rue | Physical Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-11-07 |
| 1699293076 | Shelbi Montanaro | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-09-06 |
| 1467973610 | Emily Block Treglia | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-28 |
| 1902334972 | Haley Marie Carey | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-02 |
| 1932640810 | Katie Benz | Occupational Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-13 |
| 1073053385 | Theresa Stanton | Respiratory Therapist, Registered | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
| Find all providers in zip 13219 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927848 | Gwendolyn Jane Thomas | Licensed Practical Nurse | 139 Hayden Ave, Syracuse, NY 13204-1509 | 2020-09-17 |
| 1780200758 | Stacey R Green | Licensed Practical Nurse | 707 Meadowbrook Dr, Syracuse, NY 13210-3113 | 2020-06-24 |
| 1033743539 | Mindy Joy Cottrell | Licensed Practical Nurse | 515 Florida Rd, Syracuse, NY 13211-1220 | 2020-02-24 |
| 1205474772 | Mary Kresser | Licensed Practical Nurse | 214 Lafayette Rd, Syracuse, NY 13205-2921 | 2019-12-16 |
| 1528602166 | Rebecca Anne Snyder | Licensed Practical Nurse | 510 Greenwood Pl, Syracuse, NY 13210-2526 | 2019-11-06 |
| 1386286094 | Wendolyn Alicia White | Licensed Practical Nurse | 304 Martin Luther King W, Syracuse, NY 13205-1023 | 2019-10-14 |
| 1609423516 | Kortia Poole | Licensed Practical Nurse | 4574 Onondaga Blvd Apt 38, Syracuse, NY 13219-3308 | 2019-08-25 |
| 1649822826 | Tyrone Lamont Hunter | Licensed Practical Nurse | 620 Erie Blvd W Ste 620erie, Syracuse, NY 13204-2445 | 2019-07-09 |
| 1265099378 | Trina Leigh-marie Stearns | Licensed Practical Nurse | 525 Mosley Drive, Syracuse, NY 13206 | 2019-05-23 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| Find all providers in SYRACUSE | ||||
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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.