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JODY M STACKMAN M.D., NPI 1457353666

Psychiatry & Neurology in ITHACA, NY

Last Updated on : Jul 25,2013

About JODY M STACKMAN (NPI 1457353666)


JODY M STACKMAN is a Psychiatry & Neurology provider in ITHACA, United States. His medical specialization is Psychiatry & Neurology with a focus in Neurology.

1457353666 is NPI number of JODY M STACKMAN.

JODY M STACKMAN's primary taxonomy code based on NPI Lookup is 2084N0400X with license number 132611. This taxonomy code refers to Psychiatry & Neurology.

JODY M STACKMAN has more than 16 years of experience.

JODY M STACKMAN current practice location address is 8 BRENTWOOD DR, ITHACA, NY. JODY M STACKMAN can be reached out via phone at 607-273-6757 and via fax at 607-273-2854 .

You can also correspond with JODY M STACKMAN through mail at mailing address 8 BRENTWOOD DR, ITHACA, NY, United States. Mailing address contact number is 607-273-6757.

The enumeration date of JODY M STACKMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 9 years ago.

1457353666 NPI Information

Name JODY M STACKMAN
National Provider Id (NPI) 1457353666
Entity Type Individual
Gender M
Credential M.D.
Practice Address 8 BRENTWOOD DR, SUITE B
ITHACA, NY, United States
Practice Telephone 607-273-6757
Practice Fax Number 607-273-2854
Mailing Address 8 BRENTWOOD DR , SUITE B
ITHACA, NY, United States
Mailing Telephone 607-273-6757
Mailing Fax Number 607-273-2854
Enumeration Date 01-Jun-2005
Last Updated Date 25-Jul-2013

JODY M STACKMAN (NPI 1457353666) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 2084N0400X Psychiatry & Neurology, Neurology 132611 NY

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00711413 MEDICAID (05) NY
B82156 MEDICARE UPIN (02) NY
CC0584 MEDICARE ID-Type Unspecified (04) NY

JODY M STACKMAN (NPI 1457353666) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1891065694 LEON AUSTIN Psychologist 2683 W BUCHANAN RD,
ITHACA, MI, United States
10-Jan-2012
1457401770 DALE A NESTER Dentist, General Practice 610 N PINE RIVER ST,
ITHACA, MI, United States
11-Jan-2007
1881744100 MARTHA A BAMFIELD Dentist, General Practice 610 N PINE RIVER ST,
ITHACA, MI, United States
11-Jan-2007
1598155954 MUSCLE MECHANIX INC Health Maintenance Organization 118 SOUTH MAIN STREET,
ITHACA, MI, United States
23-Jan-2015
1770553547 SPARROW CARSON HOSPITAL Clinic/Center, Rural Health PO BOX 730, 406 E ELM ST
CARSON CITY, MI, United States
25-Jan-2006
1891831475 GARY ALLEN SCHLUCKEBIER Dentist, General Practice 921 N PINE RIVER ST,
ITHACA, MI, United States
30-Jan-2007
1396719878 THOMAS J KNIGHT Physician Assistant PO BOX 730, 406 E ELM ST
CARSON CITY, MI, United States
14-Feb-2006
1801861851 DAVID J FREESTONE Family Medicine PO BOX 730, 406 E ELM ST
CARSON CITY, MI, United States
22-Feb-2006
1003881053 HALLIE J WILSON Family Medicine PO BOX 730, 406 E ELM ST
CARSON CITY, MI, United States
22-Feb-2006
1972578862 RUSSELL J ANDERSON Family Medicine PO BOX 730, 406 E ELM ST
CARSON CITY, MI, United States
22-Feb-2006
1164055380 PALMER'S PLACE INC Custodial Care Facility 1009 S. ST. JOHNS RD,
ITHACA, MI, United States
17-Feb-2020
1679074587 ALEX SEAN CATLIN Physical Therapist 509 E CENTER ST,
ITHACA, MI, United States
26-Feb-2018
1104383280 NINA SUE DRAPER Registered Nurse 11059 E FILLMORE RD,
ITHACA, MI, United States
26-Feb-2019
1083903991 BETH M JOHNSON Pharmacist PO BOX 63,
ITHACA, MI, United States
31-Mar-2011
1538301668 MIDMICHIGAN MEDICAL CENTER-GRATIOT Clinic/Center, Rural Health 121 N PINE RIVER ST,
ITHACA, MI, United States
06-Apr-2009
1043773542 JESSICA ANN SKINNER Physical Therapy Assistant 377 S ALGER RD,
ITHACA, MI, United States
11-Apr-2019
1306467477 STACY JEAN KILLIAN Counselor, Professional 608 WRIGHT AVE,
ALMA, MI, United States
30-Apr-2020
1407593098 KAYTLYN RAE MONTRY Behavior Technician 5586 S WELLS RD,
ITHACA, MI, United States
16-May-2022
1437478088 MOBILE PROSTHETICS OF MICHIGAN CORP Prosthetic/Orthotic Supplier 1326 E CENTER ST STE 2,
ITHACA, MI, United States
21-May-2010
1932146685 MICHAEL ANDREW STACK Family Medicine 121 N PINE RIVER ST,
ITHACA, MI, United States
01-Jun-2006

FAQs

Whose NPI Number is 1457353666?

1457353666 is the NPI number of JODY M STACKMAN.

What is the specialty for JODY M STACKMAN?

The Specialty of JODY M STACKMAN is Psychiatry & Neurology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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