Wallace Glenn Jamison (NPI# 1215943279, PAC ID# 0840247961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1215943279 |
| PAC ID by PECOS | 0840247961 |
| Professional Enrollment ID | I20190501000867 |
| Full Name | Wallace Glenn Jamison |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Address |
140 Lincoln Ave Haverhill MA 01830-6700 |
| Phone Number | 9784201405 |
| Gender | M |
| Credential | MD |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1970 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2860688728 |
| Number of Group Practice Members | 1568 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220080 | HOLY FAMILY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 140 Lincoln Ave, Haverhill, MA 01830-6700 | 9784201405 | STEWARD MEDICAL GROUP INC |
| 70 E St, Methuen, MA 01844-4597 | 9786870156 | STEWARD MEDICAL GROUP INC |
| Organization Legal Name | STEWARD MEDICAL GROUP INC |
| Physicians | 1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ribhu Tushar Jha | Neurosurgery | Steward Medical Group Inc | 736 Cambridge St Ccp, 8 Neurosurg. Neurology, Brighton, MA 02135-2907 |
| Amber Hicks-thibodeau | Family Medicine | Steward Medical Group Inc | 5170 Belmont Ave, Youngstown, OH 44505-1022 |
| Neal Mahesh Patel | Gastroenterology | Steward Medical Group Inc | 2501 Shenango Valley Fwy, Suite 3, Hermitage, PA 16148-2536 |
| George P Christophi | Gastroenterology | Steward Medical Group Inc | 8075 Spyglass Hill Rd, Suite 101, Melbourne, FL 32940-8281 |
| Darya P. Zakirov | Nurse Practitioner | Steward Medical Group Inc | 100 Industrial Park Rd, Suite 1, Taunton, MA 02780-7396 |
| Cynthia E Rider | Nurse Practitioner | Steward Medical Group Inc | 8005 Bay St, Suite 1, Sebastian, FL 32958-3244 |
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Pamela Ann Johnson | Nurse Practitioner | Steward Medical Group Inc | 119 Longwood Ave, Rockledge, FL 32955-2827 |
| Shailendra Singh | Interventional Cardiology | Steward Medical Group Inc | 1800 Sulllivan Trail, Suite 200, Easton, PA 18040-8493 |
| Asa Paris | Certified Registered Nurse Anesthetist (crna) | Steward Medical Group Inc | 235 N Pearl St, Brockton, MA 02301-1794 |
| Street Address |
140 LINCOLN AVE |
| City | HAVERHILL |
| State | MA |
| Zip | 01830-6700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Henry Janco | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Christopher C Stowe | Anesthesiology | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Riad Ettunsi | Internal Medicine | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Anish Geevarghese | Internal Medicine | Incare LLC | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Christannah Waters | Obstetrics/gynecology | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Janarthanan Someswarananthan | Internal Medicine | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| John C Wain | Thoracic Surgery | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Marion Ddamulira | Nurse Practitioner | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Marina Khait | Nurse Practitioner | Principes Medical Group Pllc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| William E Guptill | Anesthesiology | Steward Medical Group Inc | 140 Lincoln Ave, Haverhill, MA 01830-6700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth C Greene | Chiropractic | New Life Chiropractic, 2 Water Street, Haverhill, MA 01830-0229 | |
| Ellen M Byron | Registered Dietitian Or Nutrition Professional | Ellen M Byron | 215 Summer St, Suite 8, Haverhill, MA 01830-0632 |
| Karen S Dipietro | Registered Dietitian Or Nutrition Professional | Ellen M Byron | 215 Summer St, Suite 8, Haverhill, MA 01830-0632 |
| Mary G Pearson | Family Medicine | New Creation Healing Center, Inc | 190 N Ave, Haverhill, MA 01830-2238 |
| Glenn P Kimball | Ophthalmology | 680 Main St, Haverhill, MA 01830-2644 | |
| Peter G Kachavos | Internal Medicine | Partners Community Physicians Organization Inc | 600 Primrose St, Haverhill, MA 01830-2659 |
| Jessica M Satrape | Certified Nurse Midwife (cnm) | Seacoast Affiliated Group Practice Inc | 600 Primrose St, Suite 202, Haverhill, MA 01830-2659 |
| Meredith B Davis | Certified Nurse Midwife (cnm) | Seacoast Affiliated Group Practice Inc | 600 Primrose St, Suite 202, Haverhill, MA 01830-2659 |
| Katelin C Cashman | Physician Assistant | Partners Community Physicians Organization Inc | 600 Primrose St, Haverhill, MA 01830-2659 |
| Deanna Christine Pilkenton | Certified Nurse Midwife (cnm) | Seacoast Affiliated Group Practice Inc | 600 Primrose St, Suite 202, Haverhill, MA 01830-2659 |
| Find all physicians in zip 01830 | |||
| City | HAVERHILL |
| Zip Code | 01830 |
| Specialty | PSYCHIATRY |
| City + Specialty | HAVERHILL + PSYCHIATRY |
Please comment or provide details below to improve the information on Wallace Glenn Jamison.
| 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.