JACOB MAX HUDDLESTON (NPI# 1023565330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023565330 |
| Entity Type | Individual |
| Full Name | JACOB MAX HUDDLESTON |
| Practice Address |
33100 Cleveland Clinic Blvd Avon OH 44011-1390 |
| Practice Telephone | 4406954000 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004798RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 W Main St, New Lebanon, OH 45345 | 9376871911 | 9376871888 |
| Street Address |
33100 CLEVELAND CLINIC BLVD |
| City | AVON |
| State | OH |
| Zip Code | 44011-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126683 | Annie R Tan | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2005-06-30 |
| 1992323646 | Sarah Lauren Mcnulty | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-07-09 |
| 1952939522 | William Quinn Menard | Physical Therapist | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-03-30 |
| 1356979025 | Jared Berger | Physical Therapist | 33100 Cleveland Clinic Blvd, Physical Therapy Department, Avon, OH 44011 | 2020-03-30 |
| 1053949941 | Shawn Nixon | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-03-28 |
| 1174156228 | Emma Rueth | Dietitian, Registered | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-02-18 |
| 1619514569 | Carmen Moreno | Physician Assistant | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2019-12-10 |
| 1588225098 | Lindsey Trotter | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2019-06-25 |
| 1619465614 | Timothy Gill | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-25 |
| 1467960575 | The Cleveland Clinic Foundation | Optometrist | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2018-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
| 1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
| Find all providers in zip 44011 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990578 | Caitlin Patricia Soucy | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-06-11 |
| 1881257061 | Joseph Downs | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-04-15 |
| 1306301668 | Melissa L Judd | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-01-31 |
| 1962976928 | Arielle Marie Brown | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-01-13 |
| 1487123956 | Sydney F Richards | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2018-11-14 |
| 1891262929 | Julia Kathryn Carson | Physician Assistant | 470 Collins St, Avon, NY 14414-1466 | 2018-10-26 |
| 1093292351 | Audra Lucille Cokain | Physician Assistant | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2018-07-19 |
| 1669961736 | Ashley Corridori | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2018-05-04 |
| 1164928784 | Rebecca Corridori | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2018-04-03 |
| 1558880872 | Stormi T Raines | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2017-09-19 |
| Find all providers in AVON | ||||
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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.