Jacquelyn Diane Visser (NPI# 1023570538, PAC ID# 2163759770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023570538 |
| PAC ID by PECOS | 2163759770 |
| Professional Enrollment ID | I20190805003215 |
| Full Name | Jacquelyn Diane Visser |
| Organization Legal Name | MOSES CONE AFFILIATED PHYSICIANS, INC. |
| Address |
1236 Huffman Mill Rd Suite 130 Burlington NC 27215-8700 |
| Phone Number | 3364381060 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779635396 |
| Number of Group Practice Members | 161 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340070 | ALAMANCE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1236 Huffman Mill Rd, Suite 130, Burlington, NC 27215-8700 | 3364381060 | MOSES CONE AFFILIATED PHYSICIANS, INC. |
| 1126 N Church St, Suite 300, Greensboro, NC 27401-1037 | 3369380800 | MOSES CONE AFFILIATED PHYSICIANS, INC. |
| Organization Legal Name | MOSES CONE AFFILIATED PHYSICIANS, INC. |
| Physicians | 156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gayatri Ajay Acharya | Cardiovascular Disease (cardiology) | Moses Cone Affiliated Physicians, Inc. | 364 White Oak St, Asheboro, NC 27203-5434 |
| Christanna Rae Schuman | Obstetrics/gynecology | Moses Cone Affiliated Physicians, Inc. | 1091 Kirkpatrick Rd, Burlington, NC 27215-9714 |
| Michael Joseph Price | Podiatry | Moses Cone Affiliated Physicians, Inc. | 2001 N Church St, Greensboro, NC 27405-5633 |
| Anne M Ambs | Nurse Practitioner | Moses Cone Affiliated Physicians, Inc. | 104 E Northwood St, Greensboro, NC 27401-1310 |
| Shaylar P Padgett | Allergy/immunology | Moses Cone Affiliated Physicians, Inc. | 100 Westwood Ave, High Point, NC 27262-4317 |
| Brian G Zamora | Ophthalmology | Moses Cone Affiliated Physicians, Inc. | 1313 Carolina St, Suite 103, Greensboro, NC 27401-6003 |
| Dinah C Ngetich | Nurse Practitioner | Moses Cone Affiliated Physicians, Inc. | 1309 N Elm St, Greensboro, NC 27401-1005 |
| Ralph Carter Bobbitt Jr. | Allergy/immunology | Moses Cone Affiliated Physicians, Inc. | 120 Davis St, Asheboro, NC 27203-5469 |
| Javed Masoud | Cardiovascular Disease (cardiology) | Moses Cone Affiliated Physicians, Inc. | 1611 Flora Ave, Burlington, NC 27217-1017 |
| Brian S Crenshaw | Cardiovascular Disease (cardiology) | Moses Cone Affiliated Physicians, Inc. | 1635 Nc Hwy 66 S, Suite 155, Kernersville, NC 27284-3855 |
| Street Address |
1236 HUFFMAN MILL RD SUITE 130 |
| City | BURLINGTON |
| State | NC |
| Zip | 27215-8700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Walker Larach | Nurse Practitioner | Moses Cone Physician Services, Inc | 1236 Huffman Mill Rd, Suite 2000, Burlington, NC 27215-8700 |
| Deanna C Jones | Family Medicine | Armc Physicians Care Inc. | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 |
| Uzma S Faheem | Psychiatry | Armc Physicians Care Inc. | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 |
| Muhammad A Arida | Peripheral Vascular Disease | Moses Cone Affiliated Physicians, Inc. | 1236 Huffman Mill Rd, Suite 130, Burlington, NC 27215-8700 |
| Megan Payseur Johnson | Family Medicine | Armc Physicians Care Inc. | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 |
| Rachel E Lane | Physician Assistant | Armc Physicians Care Inc. | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 |
| Ryan M Dunn | Physician Assistant | Moses Cone Affiliated Physicians, Inc. | 1236 Huffman Mill Rd, Suite 130, Burlington, NC 27215-8700 |
| Kristen Denise Scatliffe | Critical Care (intensivists) | Moses Cone Medical Services Inc | 1236 Huffman Mill Rd, Suite 130, Burlington, NC 27215-8700 |
| Saramma Eappen | Psychiatry | Armc Physicians Care Inc. | 1236 Huffman Mill Rd, Suite 1500, Burlington, NC 27215-8700 |
| Carmen Laura Gonzalez | Pulmonary Disease | Moses Cone Medical Services Inc | 1236 Huffman Mill Rd, Suite 130, Burlington, NC 27215-8700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George S Thurmond Ii | Optometry | 310 S Church St, Burlington, NC 27215-3711 | |
| David K Naylor | Chiropractic | 612 S Church St, Burlington, NC 27215-3814 | |
| Nan S Heinbaugh | Psychologist, Clinical | 108 W Kime St, Burlington, NC 27215-3854 | |
| Jenna Roney | Optometry | Myeyedr Optometry of North Carolina Pllc | 2835 S Church St, Burlington, NC 27215-5105 |
| George E Glosson | Optometry | Myeyedr Optometry of North Carolina, Pllc | 2835 S Church St, Burlington, NC 27215-5105 |
| Nancy W Baraks | Clinical Social Worker | Rha Behavioral Health Nc LLC | 2732 Ann Elizabeth Dr, Burlington, NC 27215-5111 |
| Buck Andrew Braden | Psychiatry | Rha Behavioral Health Nc LLC | 2732 Ann Elizabeth Dr, Burlington, NC 27215-5111 |
| Courteney Sanderford Schenck | Clinical Social Worker | Rha Behavioral Health Nc LLC | 2732 Ann Elizabeth Dr, Burlington, NC 27215-5111 |
| Mariel M Litz | Psychiatry | Rha Behavioral Health Nc LLC | 2732 Ann Elizabeth Dr, Burlington, NC 27215-5111 |
| Mark A Moffet | Psychiatry | Rha Behavioral Health Nc LLC | 2732 Ann Elizabeth Dr, Burlington, NC 27215-5111 |
| Find all physicians in zip 27215 | |||
| City | BURLINGTON |
| Zip Code | 27215 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BURLINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacquelyn Diane 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.