Dr. Jody M Stackman is a Ithaca, New York based neurologist who is specialized in Neurology. Active license number of Dr. Jody M Stackman is 132611 for Neurology in New York. His current practice location is 8 Brentwood Dr, Suite B, Ithaca. Patients can reach him at 607-273-6757 or can fax him at 607-273-2854. Dr. Jody M Stackman is M.D. in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1457353666. Dr. Jody M Stackman specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Jody M Stackman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Jody M Stackman
Specialization:
Neurology
Gender:
Male
Credentials:
M.D.
Practice Address:
8 Brentwood Dr, Suite B, Ithaca, New York, 14850-1871
Phone:
607-273-6757
Fax:
607-273-2854
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1457353666
NPI Enumeration Date:
01 Jun, 2005
NPI Last Update On:
25 Jul, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jody M Stackman are as mentioned below.
License Number
Specialization
State
Status
132611
Neurology
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jody M Stackman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00711413
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Jody M Stackman 8 Brentwood Dr, Suite B Ithaca, New York
Zip:
14850-1871
Phone Number:
607-273-6757
Fax Number:
607-273-2854
Patients can reach Dr. Jody M Stackman at 8 Brentwood Dr, Suite B, Ithaca, New York or can call to book an appointment on 607-273-6757.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.