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DR. JODY M STACKMAN M.D.
NPI 1457353666
Psychiatry & Neurology - Neurology in Ithaca, NY

Active since June 01, 2005
8 BRENTWOOD DR, SUITE B, ITHACA, NY 14850(607) 273-6757(607) 273-2854 Get Directions Write a Review

NPPES record last updated: July 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jody M Stackman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JODY M STACKMAN M.D. (NPI 1457353666) is an individual neurology provider in Ithaca, New York, licensed in New York (132611) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1457353666
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JODY M STACKMANCredential: M.D.
Location Address8 BRENTWOOD DR, SUITE BIthaca, NY 14850-1871
Mailing Address8 Brentwood Dr, Suite BIthaca, NY 14850-1871 · (607) 273-6757 · Fax (607) 273-2854
Phone(607) 273-6757
Fax(607) 273-2854
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 25, 2013
✔ NPI 1457353666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 132611
Definition
A Neurologist 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.
8 BRENTWOOD DR, Ithaca, NY 14850
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Other Identifiers 3

Medicare ID-Type UnspecifiedCC0584NY
Medicaid00711413NY
Medicare UPINB82156NY

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES S GAFFNEY M.D.
Psychiatry & Neurology (Neurology)
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 273-6757
DR. ZIJIN CHENG MD
Family Medicine
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (657) 272-1717
FAMILY MEDICINE ASSOCIATES OF ITHACA
Non-Pharmacy Dispensing Site
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 277-4341
DR. SERENA H. YOON MD
Internal Medicine
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 266-7500
DR. LINDA RADOMSKI MD
Internal Medicine
8 BRENTWOOD DR, SUITE B
ITHACA, NY 14850
Tompkins County (607) 266-7500
NICOLE ANN SERRANO FNP
Nurse Practitioner
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 277-4341
MICHAEL SLATTERY MD
Psychiatry & Neurology (Sleep Medicine)
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 273-6757
DR. DEANA BONNO M.D.
Psychiatry & Neurology (Neurology)
8 BRENTWOOD DR
ITHACA, NY 14850
Tompkins County (607) 273-6757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jody Stackman's NPI number?

The NPI number for Jody Stackman is 1457353666. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Jody Stackman located?

Jody Stackman practices at 8 Brentwood Dr Suite B, Ithaca, NY 14850. The listed phone number is (607) 273-6757.

What is Jody Stackman's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Jody Stackman was last updated on July 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.