J Jackson (NPI# 1346633161, PAC ID# 2961731799) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1346633161 |
PAC ID by PECOS | 2961731799 |
Professional Enrollment ID | I20190904001919 |
Full Name | J Jackson |
Organization Legal Name | ENGLISH DERMATOLOGY PC |
Address |
36359 N Gantzel Rd Suite 103 San Tan Valley AZ 85140-7332 |
Phone Number | 4806361193 |
Gender | M |
Medical School | ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY |
Graduation Year | 2015 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 4385867761 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
36359 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7332 | 4806361193 | ENGLISH DERMATOLOGY PC |
Organization Legal Name | ENGLISH DERMATOLOGY PC |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cynthia P Franco | Physician Assistant | English Dermatology PC | 36359 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7332 |
Kelly D Chavez | Physician Assistant | English Dermatology PC | 1729 N Trekell Rd, Suite 124, Casa Grande, AZ 85122-2215 |
Kenan Arkawi | Physician Assistant | English Dermatology PC | 3102 E Indian School Rd, Suite 140, Phoenix, AZ 85016-6872 |
Salvador Alonzo | Nurse Practitioner | English Dermatology PC | 1030 W 24th St, Suite C 2, Yuma, AZ 85364-8319 |
Annie C Sullivan | Physician Assistant | English Dermatology PC | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9137 |
Kristen N Peterson | Nurse Practitioner | English Dermatology PC | 230 S 3rd St, B4, Phoenix, AZ 85004-2697 |
Mindy S Hendrickson | Physician Assistant | English Dermatology PC | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9137 |
Rebecca S Morrow | Physician Assistant | English Dermatology PC | 36359 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7332 |
Mark R Rosenberg | Dermatology | English Dermatology PC | 15215 S 48th St, Suite 120, Phoenix, AZ 85044-9137 |
Julio Hernandez | Dermatology | English Dermatology PC | 1729 N Trekell Rd, Suite 124, Casa Grande, AZ 85122-2215 |
Street Address |
36359 N GANTZEL RD SUITE 103 |
City | SAN TAN VALLEY |
State | AZ |
Zip | 85140-7332 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cynthia P Franco | Physician Assistant | English Dermatology PC | 36359 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7332 |
Rebecca S Morrow | Physician Assistant | English Dermatology PC | 36359 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7332 |
Brian M Brinegar | Physician Assistant | English Dermatology PC | 36359 N Gantzel Rd, Suite 103, San Tan Valley, AZ 85140-7332 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin D Earlywine | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Shuntelle Hawk | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Sheila F Cota | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Kelly A Mcmillan | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
David T Scholzen | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Jay R Gunnell | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Steven A Silodor | Family Medicine | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Sheryl Bacon | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Emylie Gott | Nurse Practitioner | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Richard N Peterson | Physician Assistant | Banner Urgent Care Services LLC | 40773 N Ironwood Dr, San Tan Valley, AZ 85140-7002 |
Find all physicians in zip 85140 |
City | SAN TAN VALLEY |
Zip Code | 85140 |
Specialty | DERMATOLOGY |
City + Specialty | SAN TAN VALLEY + DERMATOLOGY |
Please comment or provide details below to improve the information on 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.