Jacob S Heydemann (NPI# 1548263635, PAC ID# 1456258466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1548263635 |
| PAC ID by PECOS | 1456258466 |
| Professional Enrollment ID | I20031217000942 |
| Full Name | Jacob S Heydemann |
| Address |
1300 Murchison Dr Suite 310 El Paso TX 79902-4800 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450002 | THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS |
| 450668 | THE HOSPITALS OF PROVIDENCE - SIERRA CAMPUS |
| 670047 | THE HOSPITALS OF PROVIDENCE - EAST CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 1300 Murchison Dr, Suite 310, El Paso, TX 79902-4800 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1300 MURCHISON DR SUITE 310 |
| City | EL PASO |
| State | TX |
| Zip | 79902-4800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Natividad | Certified Registered Nurse Anesthetist (crna) | 1300 Murchison Dr, El Paso, TX 79902-4842 | |
| Mark F Gan | Anesthesiology | 1300 Murchison Dr, Suite 200, El Paso, TX 79902-4838 | |
| Donald Nance | Certified Registered Nurse Anesthetist (crna) | El Paso Anesthesia Associates LLC | 1300 Murchison Dr, Suite 180, El Paso, TX 79902-4838 |
| Gilbert Aidinian | Vascular Surgery | 1300 Murchison Dr, Suite 110, El Paso, TX 79902-4800 | |
| Patrick J Gould | Certified Registered Nurse Anesthetist (crna) | El Paso Anesthesia Associates LLC | 1300 Murchison Dr, Suite 180, El Paso, TX 79902-4838 |
| Janelle M Thompson | Certified Registered Nurse Anesthetist (crna) | 1300 Murchison Dr, Suite 200, El Paso, TX 79902-4838 | |
| Napoleon Anibal Campos Jr. | Anesthesiology | 1300 Murchison Dr, Suite 200, El Paso, TX 79902-4838 | |
| Monica V Ramirez | Optometry | Buena Vista Eye Care Pllc | 1300 Murchison Dr, Suite 140, El Paso, TX 79902-4800 |
| Andrew Dodds Dand | Certified Registered Nurse Anesthetist (crna) | 1300 Murchison Dr, Suite 200, El Paso, TX 79902-4838 | |
| Ruben Eduardo Ramirez | Ophthalmology | Buena Vista Eye Care Pllc | 1300 Murchison Dr, Suite 140, El Paso, TX 79902-4800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Veronica Grajeda | Nurse Practitioner | El Paso Integrated Physicians Group | 1810 Murchison, Suite 300, El Paso, TX 79902 |
| Boris Kaim | Neurology | 2311 N Mesa, Bldg F, El Paso, TX 79902 | |
| Ese P Green | Certified Registered Nurse Anesthetist | West Star Anesthesia Services Pa | 1801 N Oregon, Las Palmas Medical Center, El Paso, TX 79902 |
| Luis R Rodriguez | Internal Medicine | 1714 E Yandell, Suite B, El Paso, TX 79902 | |
| Arthur L Ramirez | Psychiatry | 1515 N Mesa, El Paso, TX 79902 | |
| Jessica C Compean Fierro | Anesthesiology | West Star Anesthesia Services Pa | 1801 N Oregon, Las Palmas Medical Center, El Paso, TX 79902 |
| Ruby N Rubio | Anesthesiology | West Star Anesthesia Services Pa | 1801 N Oregon, Las Palmas Medical Center, El Paso, TX 79902 |
| Jon A Johnson | Certified Registered Nurse Anesthetist | West Star Anesthesia Services Pa | 1801 N Oregon, Las Palmas Medical Center, El Paso, TX 79902 |
| Marilie K Sage | Certified Registered Nurse Anesthetist | West Star Anesthesia Services Pa | 1801 N Oregon, El Paso, TX 79902 |
| Judith Amy Pallares | Chiropractic | Desert Sun Chiropractic Pllc | 3800 N Mesa, Suite C 1, El Paso, TX 79902 |
| Find all physicians in zip 79902 | |||
| City | EL PASO |
| Zip Code | 79902 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | EL PASO + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jacob S Heydemann.
| 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.