Jason Ricks (NPI# 1104114073, PAC ID# 1759559115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1104114073 |
| PAC ID by PECOS | 1759559115 |
| Professional Enrollment ID | I20141106000822 |
| Full Name | Jason Ricks |
| Organization Legal Name | PREMIER ANESTHESIA OF ARKANSAS PROFESSIONAL CORPORATION |
| Address |
3215 N N Hills Blvd Fayetteville AR 72703-4424 |
| Phone Number | 4794631000 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6406077460 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 | 4794631000 | PREMIER ANESTHESIA OF ARKANSAS PROFESSIONAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| QCDR_EC_ABG21_overall | Pre-operative OSA assessment | 100% |
| Organization Legal Name | PREMIER ANESTHESIA OF ARKANSAS PROFESSIONAL CORPORATION |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Edward Gaines Jr. | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 |
| Chelsi Musick | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 |
| Heather Pribislavski | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Brandie J Cockrell | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 1600 W 40th Ave, Pine Bluff, AR 71603-6301 |
| Bradley Tow | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Justin Michael Coats | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Teresa Monica Huang | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Antonio P Landry | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Scott A Shepherd | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Shejan Ansar | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Street Address |
3215 N N HILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip | 72703-4424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Pribislavski | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Bradley Tow | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Justin Michael Coats | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Teresa Monica Huang | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Antonio P Landry | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Scott A Shepherd | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Shejan Ansar | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Frederic Spies | Diagnostic Radiology | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Drew Rodgers | Anesthesiology | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Leigh A Berry | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Arkansas Professional Corporation | 3215 N N Hills Blvd, Fayetteville, AR 72703-4424 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Pauls | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 3383 N Mana Court, Fayetteville, AR 72703 |
| Kevin Hurlbut | Physical Medicine and Rehabilitation | 153 E Monte Painter, Fayetteville, AR 72703 | |
| Karen C Reynolds | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Kamra E Mays | Psychologist, Clinical | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Mary Frances Daut | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Ornette L Gaines | Family Medicine | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Regina E Thurman | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Amberlyn B Naples | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Michael Saitta | Rheumatology | 6 W Sunbridge Dr, Fayetteville, AR 72703-1822 | |
| Find all physicians in zip 72703 | |||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FAYETTEVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jason Ricks.
| 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.