Jared John Visser (NPI# 1174812358, PAC ID# 2062680564) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1174812358 |
| PAC ID by PECOS | 2062680564 |
| Professional Enrollment ID | I20120924000505 |
| Full Name | Jared John Visser |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Address |
1717 Biddle St Saint Louis MO 63106-3454 |
| Phone Number | 3148981700 |
| Gender | M |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1052386919 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260081 | SSM ST CLARE HEALTH CENTER |
| 260104 | SSM DEPAUL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 3143446000 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO 63141-7029 | 3144321903 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 500 W Pine St, Farmington, MO 63640-1426 | 5737568986 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962502 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 141 E Madison Ave, Suite 100, Kirkwood, MO 63122-4331 | 3148218855 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| 1717 Biddle St, Saint Louis, MO 63106-3454 | 3148981700 | AFFINIA HEALTHCARE |
| 4414 N Florissant Ave, Saint Louis, MO 63107-1812 | 3148981700 | AFFINIA HEALTHCARE |
| 2318 Hwy 94 S Outer Rd, St Charles, MO 63303-8301 | 6364777300 | FEET FIRST PODIATRY LLC |
| 851 E 5th St, Suite 320, Washington, MO 63090-3130 | 6362391633 | MID-WEST PODIATRY AND ASSOCIATES, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 28% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 28% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 1% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 36% | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 36% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 70% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 70% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | AFFINIA HEALTHCARE |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Norton | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Jaime E Flores Ruiz | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Juee S Phalak | Psychiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Paulina Cruz Bravo | Endocrinology | Affinia Healthcare | 3930 S Broadway, Saint Louis, MO 63118-4626 |
| Vani Pachalla | Family Medicine | Affinia Healthcare | 1430 Olive St, Suite 400, Saint Louis, MO 63103-2303 |
| Mary B Keegan | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Barbara A Lutey | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Melissa D Tepe | Obstetrics/gynecology | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Jessica M Despotovic | Obstetrics/gynecology | Affinia Healthcare | 4414 N Florissant Ave, Saint Louis, MO 63107-1812 |
| Shirley Mae Visser | Podiatry | Affinia Healthcare | 2220 Lemp Ave, Saint Louis, MO 63104-2700 |
| Street Address |
1717 BIDDLE ST |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63106-3454 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime E Flores Ruiz | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Mary B Keegan | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Barbara A Lutey | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Timothy J Mccann | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Micaela E Oneil Callahan | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Erin L King | Obstetrics/gynecology | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Tareq I Nabhan | Optometry | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Angel N Simmons | Optometry | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Dwayne D Young | Optometry | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Jocelin N Reatiraza | Internal Medicine | Affinia Healthcare | 1717 Biddle St, Saint Louis, MO 63106-3454 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jules R Levy | Optometry | 1015 N Grand Ave, St Louis, MO 63106-1623 | |
| Roy C Wilson | Psychiatry | Hopewell Center | 2012 Dr Martin Luther King Dr, Saint Louis, MO 63106-2819 |
| Sanjeev Rao | Psychiatry | Amanda Luckett Murphy Hopewell Center | 909 N 14th St, Saint Louis, MO 63106-3826 |
| Steven E Kisker | Psychiatry | Amanda Luckett Murphy Hopewell Center | 909 N 14th St, Saint Louis, MO 63106-3826 |
| Syed A Raza | Psychiatry | Amanda Luckett Murphy Hopewell Center | 909 N 14th St, Saint Louis, MO 63106-3826 |
| Linda J Hughes | Psychiatry | Hopewell Center | 909 N 14th St, Saint Louis, MO 63106-3826 |
| City | SAINT LOUIS |
| Zip Code | 63106 |
| Specialty | PODIATRY |
| City + Specialty | SAINT LOUIS + PODIATRY |
Please comment or provide details below to improve the information on Jared John Visser.
| 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.