JON DAVID HAM (NPI# 1922284520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922284520 |
| Entity Type | Individual |
| Full Name | JON DAVID HAM |
| Credential | LMT |
| Practice Address |
106 N Keechi St Fairfield TX 75840-4226 |
| Mailing Address |
210 W Dallas St Palestine TX 75801-3520 |
| Practice Telephone | 9033917643 |
| Mailing Telephone | 9033917643 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT044078 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
106 N KEECHI ST |
| City | FAIRFIELD |
| State | TX |
| Zip Code | 75840-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
| 1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
| 1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
| 1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| 1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
| 1003899501 | Air Evac Ems Inc | Ambulance | 160 Interstate 45 S, Fairfield, TX 75840 | 2005-11-29 |
| 1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
| 1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
| 1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
| 1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
| Find all providers in zip 75840 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718671 | Michelle Tabin Dulay | Massage Therapist | 1652 W Texas St Ste 127, Fairfield, CA 94533-5952 | 2020-10-24 |
| 1073111886 | Jason Scully | Massage Therapist | 871 Sunset Ct, Fairfield, CA 94533-4145 | 2020-10-14 |
| 1295341261 | Stanford David Joseph | Massage Therapist | 1068 Peppertree Dr, Fairfield, CA 94533-8108 | 2020-09-16 |
| 1215440177 | Michael Shay | Massage Therapist | 2000 N Court St Trlr 5d, Fairfield, IA 52556-5255 | 2017-11-14 |
| 1447610555 | Joanne Marie Vargo | Massage Therapist | 740 Texas St, Ste 208, Fairfield, CA 94533-5512 | 2016-03-02 |
| 1245747054 | Bernadette Miranda | Massage Therapist | 511 Nilles Rd, Fairfield, OH 45014-2634 | 2018-01-02 |
| 1144739152 | Maria Bernal | Massage Therapist | 511 Nilles Rd, Fairfield, OH 45014-2634 | 2017-09-21 |
| 1538525829 | Ayla Sypersma | Massage Therapist | 101 N Main St, Fairfield, IA 52556-2861 | 2016-01-03 |
| 1083939268 | Lis Foster | Massage Therapist | 2766 Mack Rd, Fairfield, OH 45014-5129 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
| 1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
| 1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| 1821698960 | Whivolyn Thomas | Massage Therapist | 3939 Synott Rd Apt 402, Houston, TX 77082-5231 | 2020-10-28 |
| 1790385730 | Beatriz Y Ogarek | Massage Therapist | 9945 Barker Cypress Rd Ste 200, Cypress, TX 77433-5319 | 2020-10-28 |
| 1598364002 | Angelique Bella | Massage Therapist | 2832 Rush Creek Rd, Mckinney, TX 75072-7224 | 2020-10-26 |
| 1770182255 | Tyana Washington | Massage Therapist | 1018 Port Neches Dr, Little Elm, TX 75068-5935 | 2020-10-26 |
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.