Jamie L Rister (NPI# 1770801763, PAC ID# 0749426617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1770801763 |
| PAC ID by PECOS | 0749426617 |
| Professional Enrollment ID | I20160722001386 |
| Full Name | Jamie L Rister |
| Organization Legal Name | MID STATE ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC |
| Address |
3444 Masonic Dr Alexandria LA 71301-3615 |
| Phone Number | 3184418329 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6204892540 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190298 | CENTRAL LOUISIANA SURGICAL HOSPITAL |
| 190019 | CHRISTUS ST FRANCES CABRINI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3444 Masonic Dr, Alexandria, LA 71301-3615 | 3184418329 | MID STATE ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC |
| Organization Legal Name | MID STATE ORTHOPAEDIC AND SPORTS MEDICINE CENTER LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Garrison | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Jon M Wilson Jr. | Podiatry | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Timothy Randell | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| John P Sandifer | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Sarah J Griffin | Physician Assistant | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Charles Texada | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Mark A Dodson | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Mark A Carbo | Physician Assistant | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Graham B Sadler | Physician Assistant | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| James A Thomas | Nurse Practitioner | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Street Address |
3444 MASONIC DR |
| City | ALEXANDRIA |
| State | LA |
| Zip | 71301-3615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Garrison | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Jon M Wilson Jr. | Podiatry | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Timothy Randell | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| John P Sandifer | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Sarah J Griffin | Physician Assistant | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Charles Texada | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Mark A Dodson | Orthopedic Surgery | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Mark A Carbo | Physician Assistant | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Graham B Sadler | Physician Assistant | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| James A Thomas | Nurse Practitioner | Mid State Orthopaedic and Sports Medicine Center LLC | 3444 Masonic Dr, Alexandria, LA 71301-3615 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ravinderjit S Brar | Internal Medicine | Rapides Regional Physician Group Primary Care, LLC | 3425 N Blvd, Alexandria, LA 71301 |
| David J Guillot | Family Medicine | 6410 Masonic Dr, Alexandria, LA 71301-2319 | |
| Elizabeth S Taylor | Psychiatry | Compass Rehab, LLC | 6410 Masonic Dr, Alexandria, LA 71301-2319 |
| Vincent A Escandell | Psychologist, Clinical | 6016 Navaho Trail, Alexandria, LA 71301-2735 | |
| Roy R Strickland | Chiropractic | 2385 S Macarthur Dr, Suite A, Alexandria, LA 71301-3062 | |
| Blaine M Broussard | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Zack Terry Buckalew Iii | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Kaitlin D Miller | Nurse Practitioner | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Daniel Renois | Family Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Ernesto J Garcia-ramos | Internal Medicine | Freedman Clinic of Internal Medicine LLP | 1337 Centre Ct, Alexandria, LA 71301-3405 |
| Find all physicians in zip 71301 | |||
| City | ALEXANDRIA |
| Zip Code | 71301 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | ALEXANDRIA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jamie L Rister.
| 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.