Jennifer Ellen Susoreny-velgos (NPI# 1821356601, PAC ID# 2163715111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1821356601 |
| PAC ID by PECOS | 2163715111 |
| Professional Enrollment ID | I20170802001354 |
| Full Name | Jennifer Ellen Susoreny-velgos |
| Organization Legal Name | AMMC PHYSICIAN SERVICES INC |
| Address |
1000 W Kingshighway Suite 13 Paragould AR 72450-4197 |
| Phone Number | 8702398107 |
| Gender | F |
| Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2012 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 6002962347 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| 040020 | ST BERNARDS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 W Kingshighway, Suite 13, Paragould, AR 72450-4197 | 8702398107 | AMMC PHYSICIAN SERVICES INC |
| Organization Legal Name | AMMC PHYSICIAN SERVICES INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George D Munday | Urology | Ammc Physician Services Inc | 4000 Linwood Dr, Suite G, Paragould, AR 72450-7224 |
| David N Brotman | General Surgery | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 13, Paragould, AR 72450-4197 |
| Rose L Glynne | Obstetrics/gynecology | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 14, Paragould, AR 72450-4141 |
| Charles A Steiger | Urology | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Joel R Epperson Jr. | Plastic and Reconstructive Surgery | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Allison R Gragg | Nurse Practitioner | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Chelsea L Thompson | Family Medicine | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| William Jennison Bulkley | Otolaryngology | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Carie L Cesare | Nurse Practitioner | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 14, Paragould, AR 72450-4141 |
| Jessica B Nutt | Nurse Practitioner | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 4, Paragould, AR 72450-4197 |
| Street Address |
1000 W KINGSHIGHWAY SUITE 13 |
| City | PARAGOULD |
| State | AR |
| Zip | 72450-4197 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David N Brotman | General Surgery | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 13, Paragould, AR 72450-4197 |
| Rose L Glynne | Obstetrics/gynecology | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 14, Paragould, AR 72450-4141 |
| Charles A Steiger | Urology | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Joel R Epperson Jr. | Plastic and Reconstructive Surgery | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Allison R Gragg | Nurse Practitioner | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Chelsea L Thompson | Family Medicine | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| William Jennison Bulkley | Otolaryngology | Ammc Physician Services Inc | 1000 W Kingshighway, Paragould, AR 72450-4197 |
| Carie L Cesare | Nurse Practitioner | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 14, Paragould, AR 72450-4141 |
| Jessica B Nutt | Nurse Practitioner | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 4, Paragould, AR 72450-4197 |
| Robert L. Warner Jr. | General Surgery | Ammc Physician Services Inc | 1000 W Kingshighway, Suite 14, Paragould, AR 72450-4141 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James David Cullins | Optometry | Jonathan B. Ross Od Pa | 2802 W Kingshighway, Paragould, AR 72450-2617 |
| Roger E Cagle | Family Medicine | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Toni T Garner | Nurse Practitioner | Cr Doc Pllc | 2700 W Kingshighway, Suite 4, Paragould, AR 72450-2637 |
| Deborah A Miles | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Pamela G Ramirez | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Heather E Bastel | Nurse Practitioner | Hendrix Medical Services, P.l.l.c. | 2709 W Kings Hwy 6, Paragould, AR 72450-2644 |
| Teri S Gill Butler | Optometry | 2711 W Kingshighway, Suite 4, Paragould, AR 72450-2645 | |
| Joel Matthew Inman | Chiropractic | Inman Chiropractic and Rehabilitation Center Pllc | 2711 W Kingshighway, Suite 14, Paragould, AR 72450-2645 |
| William E Fisher | Chiropractic | 105 Reynolds Rd, Paragould, AR 72450-2710 | |
| April L Towell | Clinical Social Worker | Families, Inc of Arkansas | 1101 W Morgan St, Suite 8, Paragould, AR 72450-2848 |
| Find all physicians in zip 72450 | |||
| City | PARAGOULD |
| Zip Code | 72450 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | PARAGOULD + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Jennifer Ellen Susoreny-velgos.
| 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.