Susan M Jackson (NPI# 1699889949, PAC ID# 0547317224) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699889949 |
| PAC ID by PECOS | 0547317224 |
| Professional Enrollment ID | I20090415000473 |
| Full Name | Susan M Jackson |
| Organization Legal Name | PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC |
| Address |
111 E Chestnut St 2 Main Floor Rome NY 13440-2800 |
| Phone Number | 3156249000 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052561651 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330245 | ST ELIZABETH MEDICAL CENTER |
| 330044 | FAXTON-ST LUKE'S HEALTHCARE |
| 330215 | ROME MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 111 E Chestnut St, 2 Main Floor, Rome, NY 13440-2800 | 3156249000 | PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC |
| 1450 Champlin Ave, Utica, NY 13502-3662 | 3156249000 | PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC |
| 1703 Genesee St, Utica, NY 13501-5613 | 3157360155 | RAOUF KODSY PHYSICIAN PC |
| Organization Legal Name | PULMONARY CRITICAL CARE AND SLEEP MEDICINE PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anwar Wassel | Pulmonary Disease | Pulmonary Critical Care and Sleep Medicine Pllc | 111 E Chestnut St, Suite 2 Main Floor, Rome, NY 13440-2800 |
| Diane M Scalise | Nurse Practitioner | Pulmonary Critical Care and Sleep Medicine Pllc | 111 E Chestnut St, Suite 2 Main Floor, Rome, NY 13440-2800 |
| Laura D Carnevale | Nurse Practitioner | Pulmonary Critical Care and Sleep Medicine Pllc | 1450 Champlin Ave, Utica, NY 13502-3662 |
| Street Address |
111 E CHESTNUT ST 2 MAIN FLOOR |
| City | ROME |
| State | NY |
| Zip | 13440-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anwar Wassel | Pulmonary Disease | Pulmonary Critical Care and Sleep Medicine Pllc | 111 E Chestnut St, Suite 2 Main Floor, Rome, NY 13440-2800 |
| Lisa Burns | Nurse Practitioner | Planned Parenthood Mohawk Hudson, Inc | 111 E Chestnut St, Rome, NY 13440-2886 |
| Julie Murawski | Nurse Practitioner | Planned Parenthood Mohawk Hudson, Inc | 111 E Chestnut St, Rome, NY 13440-2886 |
| Diane M Scalise | Nurse Practitioner | Pulmonary Critical Care and Sleep Medicine Pllc | 111 E Chestnut St, Suite 2 Main Floor, Rome, NY 13440-2800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney N Pineau | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Lauren A Giustra | Obstetrics/gynecology | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Carolyn Lerum | Nurse Practitioner | Rome Medical Practice | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Diana R Wallace | Obstetrics/gynecology | Rome Medical Practice PC | 7900 Turin Rd, Bldg 4, Rome, NY 13440-1900 |
| Joann Roberts | Certified Nurse Midwife (cnm) | Oneida Medical Services, Pllc | 8080 Turin Rd, Rome, NY 13440-1910 |
| James D Eagan | Physician Assistant | Ipc Hospitalist Services of New York PC | 8299 Turin Rd, Rome, NY 13440-1913 |
| Richard Mutty | Orthopedic Surgery | 7980 Turin Rd, Suite 4, Rome, NY 13440-1934 | |
| Sarah C Alexander | Nurse Practitioner | Cny Medicine and Allergy PC | 7900 Turin Rd/route 26 N, Beeches Professional Campus Bldg 2 Suites 1 and 2, Rome, NY 13440-1998 |
| Colleen A Vernold | Clinical Social Worker | 6676 Potter Rd, Rome, NY 13440-2016 | |
| Daniel E Burgdorf | Chiropractic | 7750 Merrick Rd, Rome, NY 13440-2136 | |
| Find all physicians in zip 13440 | |||
| City | ROME |
| Zip Code | 13440 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROME + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan M Jackson.
| 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.