JAKE EVERETT BACKEN
Radiologic Technologist (Vascular Sonography)

Address: 415 W Lynwood Ave Apt 2, San Antonio, TX 78212-2239

JAKE EVERETT BACKEN (NPI# 1356932024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356932024
Entity Type Individual
Full Name JAKE EVERETT BACKEN
Gender Male
Credential RVT
Practice Address 415 W Lynwood Ave Apt 2
San Antonio
TX 78212-2239
Practice Telephone 5416802858
Mailing Address 415 W Lynwood Ave Apt 2
San Antonio
TX 78212-2239
Mailing Telephone 5416802858
Certification Date 2021-01-26
Enumeration Date 2021-01-26
Last Update Date 2021-01-26
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 2471V0105X Radiologic Technologist
Specialization: Vascular Sonography
193400000X SINGLE SPECIALTY GROUP 193402 OR Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 415 W LYNWOOD AVE APT 2
City SAN ANTONIO
State TX
Zip Code 78212-2239

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1902451701 Ninfa Hernandez Guzman Assisted Living Facility 325 E Locust St., San Antonio, TX 78212 2019-08-08
1366924730 David Edward Dupuy Occupational Therapist 307 West Cypress, San Antonio, TX 78212 2018-09-03
1184100836 Magenta Health, Inc. Clinic/Center 1222 North Main, Suite 115, San Antonio, TX 78212 2018-07-16
1497275762 Dms Pharmacy, LLC Pharmacy · Community/Retail Pharmacy 305 East Euclid, Suite 104, San Antonio, TX 78212 2017-06-27
1245693290 Rebecca Lynn Sherman Physical Therapist 40 Ne Interstate 410 Loop, San Antonio, TX 78212 2016-03-29
1669886032 Felise De Novo, PC · Families De Novo Counselor 2400 Mccullough Ave., #12851, San Antonio, TX 78212 2014-06-13
1699102699 Prem S. Kalidindi Pharmacist 2608 N. Main, Ste 1, San Antonio, TX 78212 2013-10-04
1073860052 Sarah Nicole Percy Tovar · Sarah Nicole Percy Dentist 4118 Mccullough Ave., Suite 6, San Antonio, TX 78212 2012-08-09
1205181674 Michael Jose Cavazos Internal Medicine · Cardiovascular Disease 1100 Mccullough Ave Ste 300, San Antonio, TX 78212 2012-07-20
1730458381 Neuriom, Pllc Electrodiagnostic Medicine 4007 Mccullough Ave, #243, San Antonio, TX 78212 2011-12-27
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Taxonomy Information

Taxonomy Code 2471V0105X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Vascular Sonography

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013530310 Micah Johnson 9819 Huebner Rd Bldg 4, San Antonio, TX 78240-3253 2020-05-20
1689733495 Wes Jennings 16601 Blanco Rd, #207, San Antonio, TX 78232-1914 2006-12-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629349790 Mansik Kim 8831 Long Point Dr. Suite #104, Houston, TX 77055-4402 2012-01-22
1801172978 Derwin Emil Bios · Bios 4 D Imaging LLC 524 Meadowlark St, Lakeway, TX 78734-5313 2011-11-02
1982904405 Ultimate Ultrasound Services 2300 Mccue Rd, 321, Houston, TX 77056-4633 2010-11-01
1134433600 Candace Lynn Graham 5805 93rd St, Lubbock, TX 79424-3636 2010-07-27
1659530905 Gary Donald Thomas 515 W Woodard St, Suite 101, Denison, TX 75020-3190 2008-06-03
1619905502 Thomas Alexander Jr Services 700 Olympic Plaza Cir Ste 850, Southwestern Cerebral Circulatory Dynamics, Tyler, TX 75701-1955 2006-06-29
1013530310 Micah Johnson 9819 Huebner Rd Bldg 4, San Antonio, TX 78240-3253 2020-05-20
1770966350 Sarah Gooch 9441 Lbj Fwy, Dallas, TX 75243-4545 2015-07-01
1396143715 Images of Sound 10680 Jones Rd, 150, Houston, TX 77065-5594 2014-12-17
1053679449 First Choice Imaging 8831 Long Point Rd, 104, Houston, TX 77055-3022 2012-04-24
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Competitor

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City SAN ANTONIO
Zip Code 78212

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Dataset Information

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.