JACOB DAVID BACKE (NPI# 1760901094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760901094 |
| Entity Type | Individual |
| Full Name | JACOB DAVID BACKE |
| Practice Address |
50 E North St Buffalo NY 14203-1002 |
| Practice Telephone | (716) 885-8318 |
| Practice Fax Number | 7168850229 |
| Mailing Telephone | 7168858318 |
| Mailing Fax Number | 7168850229 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
50 E NORTH ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891745758 | Buffalo Hearing & Speech Center, Inc | Local Education Agency (LEA) | 50 E North St, Buffalo, NY 14203-1002 | 2006-05-11 |
| 1790386571 | Anna Maria Schiavi | Occupational Therapist | 50 E North St, Buffalo, NY 14203-1002 | 2020-11-06 |
| 1477154409 | Hilary Lauren Ruckdaschel | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-11-05 |
| 1063019735 | Victoria Calandriello I | Student in an Organized Health Care Education/Training Program | 50 E North St, Buffalo, NY 14203-1002 | 2020-10-06 |
| 1962018002 | Marissa Scott | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-09-22 |
| 1992311245 | Lindsey Bzibziak | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-09-22 |
| 1235745795 | Melissa Cataldo | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-09-21 |
| 1235745597 | Janet Mason | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-09-21 |
| 1932713062 | Taylor Tilley | Physical Therapist | 50 E North St, Buffalo, NY 14203-1002 | 2020-09-05 |
| 1417560483 | Denise Liane Stappenbeck | Specialist | 50 E North St, Buffalo, NY 14203-1002 | 2020-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
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| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427610575 | Anna L Landry | Specialist/Technologist, Other | 1432 Commerce, Buffalo, TX 75131 | 2019-06-28 |
| 1215239777 | Daniel A. James | Specialist/Technologist, Other | 130 Stadium Complex, University At Buffalo, Division of Athletics, Buffalo, NY 14260-5001 | 2010-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170445 | Nadine Alexandra Cunningham | Specialist/Technologist, Other | 49 Hampshire Way, Schenectady, NY 12309-1958 | 2020-09-25 |
| 1568096337 | Melissa Encarnacion | Specialist/Technologist, Other | 7 Fordham Hill Oval Apt 6f, Bronx, NY 10468-4834 | 2020-03-02 |
| 1275166597 | Saja Ababneh | Specialist/Technologist, Other | 17 Bay 34th St Apt 1r, Brooklyn, NY 11214-4208 | 2020-02-14 |
| 1629625777 | Aliage M Walters | Specialist/Technologist, Other | 435 Central Park W Apt 50, New York, NY 10025-4377 | 2019-08-23 |
| 1558928804 | Tara Rodie | Specialist/Technologist, Other | 1669 E 36th St, Brooklyn, NY 11234-4218 | 2019-05-22 |
| 1063078954 | Gina Mcmanus | Specialist/Technologist, Other | 7 High St Ste 201, Huntington, NY 11743-3417 | 2019-05-15 |
| 1154985562 | Jayne C Figuera | Specialist/Technologist, Other | 45 W 132nd St Apt 7b, New York, NY 10037-3110 | 2019-05-01 |
| 1942762992 | Brendan Meade | Specialist/Technologist, Other | 317 Rose Ln, Smithtown, NY 11787-4419 | 2019-04-01 |
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1962990176 | Yuki Arai | Specialist/Technologist, Other | 10 E 23rd St Ste 220, New York, NY 10010-4467 | 2018-04-24 |
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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.