Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jody M Stackman, MD

Individual provider Neurology Physician · NPI 1457353666

Dr. Jody M Stackman, MD is a Neurology Physician in Ithaca, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8 Brentwood Dr Ste B
Ithaca, NY 14850-1871
Phone: (607) 273-6757
Fax: (607) 273-2854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 132611 (NY)

Record details

NPI number1457353666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESJuly 25, 2013
Mailing address8 Brentwood Dr, Suite B, Ithaca, NY 14850-1871

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