Jason Fowlkes (NPI# 1356534952, PAC ID# 0345389706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1356534952 |
| PAC ID by PECOS | 0345389706 |
| Professional Enrollment ID | I20091125000258 |
| Full Name | Jason Fowlkes |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Address |
801 Davis St Suite 1 Blacksburg VA 24060-7022 |
| Phone Number | 5409611591 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6204871312 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 801 Davis St, Suite 1, Blacksburg, VA 24060-7022 | 5409611591 | MONTGOMERY SURGERY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Sinclair | Gastroenterology | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Jolene B Henshaw | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| David Stoeckle | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Kelly H Finnegan | Physician Assistant | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Christopher M Hicks | Urology | Montgomery Surgery Associates LLC | 801 Davis St, Blacksburg, VA 24060-7022 |
| Shyama D Wickramaaratchi | Cardiovascular Disease (cardiology) | Montgomery Surgery Associates LLC | 830 Davis St, Blacksburg, VA 24060-7010 |
| Street Address |
801 DAVIS ST SUITE 1 |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Fultz | Nurse Practitioner | Lewis Gale Physicians LLC | 801 Davis St, Blacksburg, VA 24060-7008 |
| Christopher M Hicks | Urology | Montgomery Surgery Associates LLC | 801 Davis St, Blacksburg, VA 24060-7022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BLACKSBURG + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.