Jada Hamilton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

196842-1 Issued in NY

Practice address

110 Ho Plaza
Ithaca, NY 14853

Phone

(607) 255-6106

Fax

(607) 254-3503

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornell University

  • Student Health Clinic/Center
  • Ithaca, NY
  • NPI 1073584926
  Medicare reassignment NPD Authorized official
• Cornell University

  • Clinic/Center
  • Ithaca, NY
  • NPI 1336276179
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1972610137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14853",
            "telephone_number": "607-255-6106",
            "fax_number": "607-254-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14853",
            "telephone_number": "607-255-6106",
            "fax_number": "607-254-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JADA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "196842-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jane Halliday, LCSW
• David H Halpert, M.D.
• Cristen E. Haltom, PHD
• Maurice Haltom
• Sasha Hamel, RN
• Joshua Eric Hamilton, NP
• Keagan David Hamilton
• Robin Gusow Hamlisch
• Jonathan Hamm
• Alanna Hammesfahr, RBT

• Family Medicine Physician in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.