JACOB RIBECKY (NPI# 1174094130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174094130 |
| Entity Type | Individual |
| Full Name | JACOB RIBECKY |
| Credential | CRNA |
| Practice Address |
1736 Hamilton St Allentown PA 18104-5656 |
| Mailing Address |
24 S 18th St Allentown PA 18104-5622 |
| Practice Telephone | 6106288372 |
| Practice Fax Number | 6106288648 |
| Mailing Telephone | 6106288372 |
| Mailing Fax Number | 6106288648 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN660613 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1736 HAMILTON ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-5656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609912104 | Laboni Choudhury | Anesthesiology | 1736 Hamilton St, St. Luke's Hospital, Allentown, PA 18104 | 2007-01-30 |
| 1457975807 | Ryan Henry Lazar | Student in an Organized Health Care Education/Training Program | 1736 Hamilton St, Allentown, PA 18104-5656 | 2020-06-02 |
| 1871114876 | Austin James Mishko | Student in an Organized Health Care Education/Training Program | 1736 Hamilton St, Allentown, PA 18104-5656 | 2020-04-30 |
| 1558980425 | Carolina Van Pelt | Student in an Organized Health Care Education/Training Program | 1736 Hamilton St, Allentown, PA 18104-5656 | 2020-04-10 |
| 1669036661 | Ruben Nunez | Podiatrist | 1736 Hamilton St, Allentown, PA 18104-5656 | 2019-04-24 |
| 1972088987 | Brady Yocum | Emergency Medicine | 1736 Hamilton St, Allentown, PA 18104-5656 | 2018-09-26 |
| 1720562911 | Sarah Marie Pullara | Physician Assistant | 1736 Hamilton St, Allentown, PA 18104-5656 | 2018-09-24 |
| 1932688736 | Roba Bozakis | Dietitian, Registered | 1736 Hamilton St, Allentown, PA 18104-5656 | 2018-08-13 |
| 1538647888 | Jacqueline Marie O'connell | Physician Assistant | 1736 Hamilton St, Allentown, PA 18104 | 2018-07-30 |
| 1275010407 | Lauren Gradwell | Physician Assistant | 1736 Hamilton St, Allentown, PA 18104-5656 | 2018-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| 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 |
|---|---|---|---|---|
| 1972153997 | Eastern Pennsylvania Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 1501 N Cedar Crest Blvd Ste 100, Allentown, PA 18104-2309 | 2019-09-12 |
| 1417991365 | Lynn Howard Mead | Nurse Anesthetist, Certified Registered | 1503 N Cedar Crest Blvd, Allentown, PA 18104-2302 | 2006-06-15 |
| 1164496741 | Kathleen G Lodewick | Nurse Anesthetist, Certified Registered | 24 S 18th St, Allentown, PA 18104-5622 | 2006-02-13 |
| 1447232707 | Michelle R Huber | Nurse Anesthetist, Certified Registered | 5000 Tilghman St, Ste 240, Allentown, PA 18104 | 2005-11-14 |
| 1043216989 | Susan Elizabeth Abrams | Nurse Anesthetist, Certified Registered | 3147 College Heights Blvd, College Heights Endoscopy Center, Allentown, PA 18104-4813 | 2005-06-24 |
| 1114540127 | Eleanor Leonard | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-05-26 |
| 1588294656 | Jessica Miller | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-17 |
| 1669002739 | Rachel Gross | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-17 |
| 1487294534 | Anastasiya Stecker | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-07 |
| 1659910198 | Robert Weiland | Nurse Anesthetist, Certified Registered | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2020-01-02 |
| Find all providers in ALLENTOWN | ||||
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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.