David B Jackson (NPI# 1477536928, PAC ID# 2961497219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1477536928 |
| PAC ID by PECOS | 2961497219 |
| Professional Enrollment ID | I20050902000439 |
| Full Name | David B Jackson |
| Organization Legal Name | MIDWEST PHYSICIANS ANESTHESIA SERVICE, SC |
| Address |
6308 8th Ave Kenosha WI 53143-5031 |
| Phone Number | 2626562011 |
| Gender | M |
| Credential | MD |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1992 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0446230445 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 6308 8th Ave, Kenosha, WI 53143-5031 | 2626562011 | MIDWEST PHYSICIANS ANESTHESIA SERVICE, SC |
| 9555 76th St, Pleasant Prairie, WI 53158-1984 | 2626562011 | MIDWEST PHYSICIANS ANESTHESIA SERVICE, SC |
| Organization Legal Name | MIDWEST PHYSICIANS ANESTHESIA SERVICE, SC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rick J Hutson | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Bridget H Johnson | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Jeffrey T V Kroeger | Certified Registered Nurse Anesthetist (crna) | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Kishwar Naz | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Joseph Duratinsky | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Richard A Hawkins | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Michael Viudez Atendido | Certified Registered Nurse Anesthetist (crna) | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| David J Ficke | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Peter D Blochowicz | Certified Registered Nurse Anesthetist (crna) | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Mary Y Ansari | Certified Registered Nurse Anesthetist (crna) | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Street Address |
6308 8TH AVE |
| City | KENOSHA |
| State | WI |
| Zip | 53143-5031 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hanna Mariani | Endocrinology | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| John Anthony Martini | Family Medicine | Ihc Hospitalists LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Aimee C Ledesma | Family Medicine | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Mark Vytlacil | Pathology | Kenosha Pathology Consultants | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Michael Zeihen | Internal Medicine | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Sarah Stasiewicz | Physician Assistant | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Andrew W Harron | Diagnostic Radiology | Ihc Kenosha Radiology LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Tomasz M Jarzembowski | Family Medicine | Ihc Hospitalists LLC | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Rick J Hutson | Anesthesiology | Midwest Physicians Anesthesia Service, Sc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Timothy A Sanborn | Cardiovascular Disease (cardiology) | Froedtert South Inc | 6308 8th Ave, Kenosha, WI 53143-5031 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Bower | Optometry | Robert B. Bower, O.d., S.c. | 2301 75th St, Kenosha, WI 53143-1403 |
| Eugene John Eldridge | Ophthalmology | 1400 75th St, Kenosha, WI 53143-1544 | |
| Daniel Dashner | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Jennifer L Evancy | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Kemba M Banyard | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Tierney Voit | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Jonathan T Grapengieser | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Leah J Featherstone | Psychologist, Clinical | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Renee M Andreoli | Nurse Practitioner | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Amy Macdonald Wojcik | Clinical Social Worker | Professional Services Group Inc. | 2108 63rd St, Kenosha, WI 53143-4454 |
| Find all physicians in zip 53143 | |||
| City | KENOSHA |
| Zip Code | 53143 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | KENOSHA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on David B 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.