Sara Ruth Jacob (NPI# 1679987531, PAC ID# 1658656996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1679987531 |
PAC ID by PECOS | 1658656996 |
Professional Enrollment ID | I20170918001854 |
Full Name | Sara Ruth Jacob |
Organization Legal Name | GASTONIA PHYSICIAN SERVICES PLLC |
Address |
2525 Court Dr Gastonia NC 28054-2140 |
Phone Number | 7048342000 |
Gender | F |
Graduation Year | 2014 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 3870719602 |
Number of Group Practice Members | 21 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
340032 | GASTON MEMORIAL HOSPITAL, INC. |
Address | Phone | Organization |
---|---|---|
2525 Court Dr, Gastonia, NC 28054-2140 | 7048342000 | GASTONIA PHYSICIAN SERVICES PLLC |
Organization Legal Name | GASTONIA PHYSICIAN SERVICES PLLC |
Physicians | 16 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bryan Stonestreet | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Cory M Hines | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Amanda N Collins | Nurse Practitioner | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Ayana M Wilson | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Alvina Scaff | Nurse Practitioner | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Meghan B Williams | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Andrew M Bruton | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Suh H Lee | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Barney B Parson | Nurse Practitioner | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Andrew V Moczula | Emergency Medicine | Gastonia Physician Services Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Street Address |
2525 COURT DR |
City | GASTONIA |
State | NC |
Zip | 28054-2140 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark T Edge | Diagnostic Radiology | Gaston Radiology Pa | 2525 Court Dr, Gastonia, NC 28054-2140 |
Jasmine S Stone | Physician Assistant | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Shaheen Nmn Khan | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Ajaykumar N Patel | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Lisa C Richards | Physician Assistant | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Vladislav Valtsis | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Adnan Ekram | Internal Medicine | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Dale C Davis | Certified Registered Nurse Anesthetist (crna) | East Carolina Anesthesia Associates Pllc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Chris B Nguyen | Pathology | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Demar A Neal Iii | General Surgery | Caromont Medical Group Inc | 2525 Court Dr, Gastonia, NC 28054-2140 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Albert Whitaker Jr. | Family Medicine | 224 S New Hope Rd K, Gastonia, NC 28054-0020 | |
Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Kirsten G D Amore | Physical Medicine and Rehabilitation | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Emily B Rayfield | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
James E Harris Jr. | Physician Assistant | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Julie C Cornwell | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Lisa B Wilbanks | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Rebecca H Brown | Family Practice | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Nora D Paysour | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
Sharon L Heinrich | Nurse Practitioner | Hospice of Gaston County Inc | 258 E Garrison Blvd, Gastonia, NC 28054-0460 |
Find all physicians in zip 28054 |
City | GASTONIA |
Zip Code | 28054 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | GASTONIA + EMERGENCY MEDICINE |
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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.