Jenna B Carpenter (NPI# 1144427006, PAC ID# 1254550635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
Nation Provider ID (NPI) | 1144427006 |
PAC ID by PECOS | 1254550635 |
Professional Enrollment ID | I20140917000992 |
Full Name | Jenna B Carpenter |
Organization Legal Name | MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY |
Address |
2505 Us Hwy 431 N Boaz AL 35957-0758 |
Phone Number | 2565938310 |
Gender | F |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | PULMONARY DISEASE |
Group Practice PAC ID | 5092976787 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
010005 | MARSHALL MEDICAL CENTERS |
Address | Phone | Organization |
---|---|---|
2505 Us Hwy 431 N, Boaz, AL 35957-0758 | 2565938310 | MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY |
2525 Us Hwy 431, Suite 104, Boaz, AL 35957-5967 | 2568404653 | MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY |
55 Rowe Dr C, Guntersville, AL 35976-7366 | 2567538810 | MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY |
8000 Al Hwy 69, Guntersville, AL 35976-7140 | 2565718000 | MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
John W Grimes | Nurse Practitioner | Marshall Medical Center South Manganaris Pulmonology | 7938 Al Hwy 69 210, Guntersville, AL 35976-7135 |
Ashley Colquitt | Nurse Practitioner | Marshall Medical Center South Manganaris Pulmonology | 2525 Us Hwy 431, Suite 104, Boaz, AL 35957-5967 |
Christopher S Manganaris | Pulmonary Disease | Marshall Medical Center South Manganaris Pulmonology | 7938 Al Hwy 69 210, Guntersville, AL 35976-7135 |
Street Address |
2505 US HWY 431 N |
City | BOAZ |
State | AL |
Zip | 35957-0758 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph C Kendra | Orthopedic Surgery | 2505 Us Hwy 431 N, Boaz, AL 35957-0758 | |
Donald C Martin Jr. | Orthopedic Surgery | Marshall Medical Center South | 2505 Us Hwy 431 N, Boaz, AL 35957-0758 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick J Sellers | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Alvin V Tenchavez | Internal Medicine | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Lisa L Osborne | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Carlos Chacon | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Cody E Jarmon | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Enrico Deseo Y. Gaspar | Internal Medicine | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Gideon P Ewing | Medical Oncology | Marshall Medical Center South Medical Oncology Services | 2505 Us Hwy 431, Boaz, AL 35957 |
Miranda P Smith | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Jonathan A Storey | Medical Oncology | Marshall Medical Center South Medical Oncology Services | 2505 Us Hwy 431, Boaz, AL 35957 |
Ashley C Lackey | Nurse Practitioner | United Doctors Family Medical Center LLC | 2986 Hwy 431, Boaz, AL 35957 |
Find all physicians in zip 35957 |
City | BOAZ |
Zip Code | 35957 |
Specialty | PULMONARY DISEASE |
City + Specialty | BOAZ + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Jenna B Carpenter.
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.