Sreenivasa R Alla (NPI# 1972735025, PAC ID# 2668615642) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1972735025 |
| PAC ID by PECOS | 2668615642 |
| Professional Enrollment ID | I20130822000063 |
| Full Name | Sreenivasa R Alla |
| Organization Legal Name | JACKSON PHYSICIAN CORP |
| Address |
726 Hwy 15 N Jackson KY 41339-8601 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9436149275 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180139 | KENTUCKY RIVER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 540 Jett Dr, Jackson, KY 41339-9622 | 6066664971 | JACKSON PHYSICIAN CORP |
| 726 Hwy 15 N, Jackson, KY 41339-8601 | JACKSON PHYSICIAN CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | JACKSON PHYSICIAN CORP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moh'd Sbeih | General Surgery | Jackson Physician Corp | 49 Ky Hwy 15 N, Campton, KY 41301-8988 |
| Eunice L Johnson | Obstetrics/gynecology | Jackson Physician Corp | 540 Jett Dr, Jackson, KY 41339-9622 |
| Mark K Castle | Physical Therapy | Jackson Physician Corp | 540 Jett Dr, Jackson, KY 41339-9622 |
| Street Address |
726 HWY 15 N |
| City | JACKSON |
| State | KY |
| Zip | 41339-8601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George E Burnette | Family Medicine | Kentucky River Physician Corporation | 726 Hwy 15 N, Suite 4, Jackson, KY 41339-8601 |
| Kathryn A Morgan | Nurse Practitioner | Kentucky River Physician Corporation | 726 Hwy 15 N, Suite 4, Jackson, KY 41339-8601 |
| Clemente V Zulueta Jr. | Internal Medicine | 726 Hwy 15 N, Suite 5, Jackson, KY 41339-8601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Bostron | Physical Therapy | 695 Ky Hwy 15n 3, Jackson, KY 41339 | |
| Cesar O Agtarap | Internal Medicine | 1550 Hwy 15 S, Suite 80, Jackson, KY 41339-0707 | |
| Susan Steitz | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Tiffany N Wright | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Maudella G Jones | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| John T Small | Emergency Medicine | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Paul Smith Iii | Emergency Medicine | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Jessica Ann Neace | Nurse Practitioner | The Recovery Center LLC | 1550 Hwy 15 S, Suite 200, Jackson, KY 41339-0714 |
| Martin Acevedo Barrios | General Surgery | Advanced Surgical Specialists of Ky Pllc | 1550 Hwy 15 S, Jackson, KY 41339-0717 |
| Jesus O Agomaa | Internal Medicine | Family Medical Specialty Clinic | 12 Jackson Hts, Jackson, KY 41339-6500 |
| Find all physicians in zip 41339 | |||
| City | JACKSON |
| Zip Code | 41339 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | JACKSON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Sreenivasa R Alla.
| 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.