Jordan Dennis Frazer (NPI# 1558682633, PAC ID# 0749584191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558682633 |
| PAC ID by PECOS | 0749584191 |
| Professional Enrollment ID | I20160205001150 |
| Full Name | Jordan Dennis Frazer |
| Organization Legal Name | INTERVENTIONAL PAIN SOLUTIONS PC |
| Address |
647 W E Ave Chico CA 95926-7201 |
| Phone Number | 5303434757 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264628734 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050039 | ENLOE MEDICAL CENTER |
| 050225 | ADVENTIST HEALTH FEATHER RIVER |
| Address | Phone | Organization |
|---|---|---|
| 647 W E Ave, Chico, CA 95926-7201 | 5303434757 | INTERVENTIONAL PAIN SOLUTIONS PC |
| 2160 Court St, Redding, CA 96001-2544 | 5302410410 | INTERVENTIONAL PAIN SOLUTIONS PC |
| Organization Legal Name | INTERVENTIONAL PAIN SOLUTIONS PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Omolade O Maurice Diya | Pain Management | Interventional Pain Solutions PC | 831 Sterling Pkwy, Suite 100, Lincoln, CA 95648-7323 |
| Zachary J Lipman | Anesthesiology | Interventional Pain Solutions PC | 647 W E Ave, Chico, CA 95926-7201 |
| Jared Smith | Physician Assistant | Interventional Pain Solutions PC | 1158 N Court St, Redding, CA 96001-0436 |
| Daniel C Bonis | Anesthesiology | Interventional Pain Solutions PC | 10 Governors Ln, Chico, CA 95926-1991 |
| Michael A Gasman | Anesthesiology | Interventional Pain Solutions PC | 1158 N Court St, Redding, CA 96001-0436 |
| Street Address |
647 W E AVE |
| City | CHICO |
| State | CA |
| Zip | 95926-7201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary J Lipman | Anesthesiology | Interventional Pain Solutions PC | 647 W E Ave, Chico, CA 95926-7201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Mari Winslow | Clinical Social Worker | 2220 St George Lan, Suite 2, Chico, CA 95926 | |
| Roberto Illa | Endocrinology | 1068 E Ave, A1, Chico, CA 95926-1015 | |
| Lauri L Greitzer | Chiropractic | 389 Connors Ct, Suite C, Chico, CA 95926-1177 | |
| Karen Escott | Chiropractic | 389 Connors Ct, Suite C, Chico, CA 95926-1177 | |
| James Ooi | General Practice | James P Ooi Md Inc | 383 Connors Ct, Suite F, Chico, CA 95926-1178 |
| Walter O Lysinger | Certified Registered Nurse Anesthetist | 605 E Ave, Chico, CA 95926-1206 | |
| Kay Gallegos | Psychologist, Clinical | 2260 Saint George Ln, Suite 2, Chico, CA 95926-1311 | |
| Darlene Cheryl | Clinical Social Worker | 2251 Saint George Ln, Suite G, Chico, CA 95926-1359 | |
| Randall Caviness | General Practice | 1279 E 1st Ave, Suite A, Chico, CA 95926-1542 | |
| Stephanie R Leask | Chiropractic | 1279 E 1st Ave B, Chico, CA 95926-1542 | |
| Find all physicians in zip 95926 | |||
| City | CHICO |
| Zip Code | 95926 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHICO + NURSE PRACTITIONER |
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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.