MR. JACOB D CLICK III (NPI# 1760484695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760484695 |
| Entity Type | Individual |
| Full Name | MR. JACOB D CLICK III |
| Credential | C.R.N.A. |
| Practice Address |
1341 Clark St Cambridge OH 43725 |
| Mailing Address |
3888 Croydon Dr Nw Canton OH 44718-3230 |
| Practice Telephone | 7404398000 |
| Mailing Telephone | 3304930228 |
| Mailing Fax Number | 3304930228 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 254993 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2359059 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 6th St Sw, Canton, OH 447101702 | 3303637462 | 3303637679 |
| Street Address |
1341 CLARK ST |
| City | CAMBRIDGE |
| State | OH |
| Zip Code | 43725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354318 | Shared Pet Imaging LLC | Clinic/Center | 1341 Clark St, Cambridge, OH 43725 | 2005-05-24 |
| 1861056897 | Erica Lynn Dodge | Dietitian, Registered | 1341 Clark St, Cambridge, OH 43725-9614 | 2019-04-25 |
| 1174040950 | Guernsey Emergency Group, LLC | Physician Assistant | 1341 Clark St, Cambridge, OH 43725-9614 | 2017-08-23 |
| 1871956144 | Lori Kelly | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2016-04-03 |
| 1265822803 | Sneha Patadia | Dietitian, Registered | 1341 Clark St, Cambridge, OH 43725-9614 | 2015-02-04 |
| 1568868073 | Candice D Critser | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2014-11-10 |
| 1629490347 | Mary Davis | Occupational Therapy Assistant | 1341 Clark St, Cambridge, OH 43725-9614 | 2014-01-15 |
| 1598194102 | Southern Ohio Emergency Physicians, LLP | Emergency Medicine | 1341 Clark St, Cambridge, OH 43725-9614 | 2013-11-04 |
| 1912345984 | Jason John Brown | Emergency Medicine | 1341 Clark St, Cambridge, OH 43725-9614 | 2013-06-11 |
| 1477816775 | Eric Charles Snyder | Nurse Practitioner | 1341 Clark St, Cambridge, OH 43725-9614 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849619 | Judith Olden | Home Health Aide | 807 N7th St., Cambridge, OH 43725 | 2020-10-19 |
| 1215419676 | Zak Harper | Student in an Organized Health Care Education/Training Program | 4245 College Hill Road, Cambridge, OH 43725 | 2018-09-02 |
| 1184133720 | Nancy Lou Mcintire | Counselor | 927 Wheeling Ave Suite 310, Cambridge, OH 43725 | 2017-09-27 |
| 1356877559 | Jane Engott | Counselor | 841 Stubenville Ave, Cambridge, OH 43725 | 2017-05-08 |
| 1316470701 | Kendra Winland | Case Management | 841 Steubenville Ave., Cambridge, OH 43725 | 2017-04-04 |
| 1609319870 | Candi Frame | Social Worker | 225 Woodlawn Ave, Cambridge, OH 43725 | 2016-11-21 |
| 1659727808 | William Andrew Kuebler | Pharmacist | 61690 Southgate Pkwy, Cambridge, OH 43725 | 2016-05-06 |
| 1790176758 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 503 Columbia Court, Cambridge, OH 43725 | 2015-02-12 |
| 1508257569 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 66620 Westgate Drive, Cambridge, OH 43725 | 2015-02-12 |
| 1558773432 | Altens Womens Health, LLC | Obstetrics & Gynecology | 65007 Old 21 Rd, Cambridge, OH 43725 | 2014-05-27 |
| Find all providers in zip 43725 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239325 | Lori Lynn Adams | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1923 | 2019-11-07 |
| 1982168217 | Mary Ricci | Nurse Anesthetist, Certified Registered | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2019-01-31 |
| 1508389040 | Hilary C. Bloom | Nurse Anesthetist, Certified Registered | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2017-07-17 |
| 1508306507 | Beatrice Deraco | Nurse Anesthetist, Certified Registered | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2017-02-24 |
| 1558808428 | Walid Zairi | Nurse Anesthetist, Certified Registered | 330 Mount Auburn St, Cambridge, MA 02138-5502 | 2017-01-30 |
| 1922402718 | Allina Health System | Nurse Anesthetist, Certified Registered | 701 Dellwood St S, Cambridge, MN 55008-1920 | 2014-10-22 |
| 1417252487 | Guoli Chen | Nurse Anesthetist, Certified Registered | 1493 Cambridge Street, Cambridge Health Hospital, Cambridge, MA 02139-0213 | 2011-01-21 |
| 1962550533 | Amanda M. Heidbreder | Nurse Anesthetist, Certified Registered | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2007-01-08 |
| 1073688289 | William Paul Mailloux | Nurse Anesthetist, Certified Registered | 1493 Cambridge St, Cambridge Hospital Anesthesia Department, Cambridge, MA 02139-1047 | 2006-11-22 |
| 1275608416 | Victoria Andrews | Nurse Anesthetist, Certified Registered | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-11-22 |
| Find all providers in CAMBRIDGE | ||||
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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.