Charlene J Jackson (NPI# 1417073552, PAC ID# 2264695998) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1417073552 |
| PAC ID by PECOS | 2264695998 |
| Professional Enrollment ID | I20120516000673 |
| Full Name | Charlene J Jackson |
| Organization Legal Name | SEEDS ORTHOPAEDICS, INC. |
| Address |
416 W 27th St Ashtabula OH 44004-4975 |
| Phone Number | 4409975427 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1850389461 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 416 W 27th St, Ashtabula, OH 44004-4975 | 4409975427 | SEEDS ORTHOPAEDICS, INC. |
| 1822 S Broadway, Geneva, OH 44041-7129 | 4404665447 | SEEDS ORTHOPAEDICS, INC. |
| Organization Legal Name | SEEDS ORTHOPAEDICS, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Rae Ryan | Physician Assistant | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| William A Seeds | Orthopedic Surgery | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Shaun D Spade | Physical Therapy | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Kenneth Nicholas Hoopes | Physical Therapy | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Kasey Lynn Landis | Physical Therapy | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Street Address |
416 W 27TH ST |
| City | ASHTABULA |
| State | OH |
| Zip | 44004-4975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha Rae Ryan | Physician Assistant | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| William A Seeds | Orthopedic Surgery | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Shaun D Spade | Physical Therapy | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Kenneth Nicholas Hoopes | Physical Therapy | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Kasey Lynn Landis | Physical Therapy | Seeds Orthopaedics, Inc. | 416 W 27th St, Ashtabula, OH 44004-4975 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Orlando Antonio Dsilva | Nephrology | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Tricia A Williams | Nurse Practitioner | Orlando Dsilva Md Inc | 1111 Lake Ave, Ashtabula, OH 44004-2929 |
| Donald Raymond Farley | Podiatry | 1604 W 19th St, Ashtabula, OH 44004-3036 | |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Alicia Sue Angelo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Crystall L Weidle | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Heidi Marie Christensen | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Robyn Lynn Keaton | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Caitlin Marie Imhoff | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Tracy L Watson | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Find all physicians in zip 44004 | |||
| City | ASHTABULA |
| Zip Code | 44004 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ASHTABULA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Charlene J Jackson.
| 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.