Jessica G Carroll (NPI# 1750683058, PAC ID# 3173761988) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1750683058 |
| PAC ID by PECOS | 3173761988 |
| Professional Enrollment ID | I20130605000556 |
| Full Name | Jessica G Carroll |
| Organization Legal Name | ANESTHETIC SOLUTIONS INC |
| Address |
12050 Se Stevens Rd Suite 400 Happy Valley OR 97086-7667 |
| Phone Number | 9712066100 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4587901129 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380017 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 | 9712066100 | ANESTHETIC SOLUTIONS INC |
| 1015 Nw 22nd Ave, Portland, OR 97210-3025 | 5034137711 | PORTLAND ANESTHESIA SPECIALISTS LLC |
| Organization Legal Name | ANESTHETIC SOLUTIONS INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mya J Montoya | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Dallas D Regan | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 1333 E Barnett Rd, Medford, OR 97504-8219 |
| Ann M Mchale Sass | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Candace G Chapman | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Megan E Munsey | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Candace D Dauphinais | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Kara A Kaiser | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Nathan E Sharp | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 1333 E Barnett Rd, Medford, OR 97504-8219 |
| Paula H Williams | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Tyson A Summers | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Street Address |
12050 SE STEVENS RD SUITE 400 |
| City | HAPPY VALLEY |
| State | OR |
| Zip | 97086-7667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mya J Montoya | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Ann M Mchale Sass | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Candace G Chapman | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Megan E Munsey | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Alan R Bengtzen | Ophthalmology | Eye Health Northwest P.C. | 12050 Se Stevens Rd, Suite 100, Happy Valley, OR 97086-7667 |
| Elizabeth A Verner-cole | Ophthalmology | Eye Health Northwest P.C. | 12050 Se Stevens Rd, Suite 100, Happy Valley, OR 97086-7667 |
| Candace D Dauphinais | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Dominic Jerome Dorazio | Optometry | Eye Health Northwest P.C. | 12050 Se Stevens Rd, Suite 100, Happy Valley, OR 97086-7667 |
| John K Mckinney | Ophthalmology | Eye Health Northwest P.C. | 12050 Se Stevens Rd, Suite 100, Happy Valley, OR 97086-7667 |
| Kara A Kaiser | Certified Registered Nurse Anesthetist (crna) | Anesthetic Solutions Inc | 12050 Se Stevens Rd, Suite 400, Happy Valley, OR 97086-7667 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hoang Q Nguyen | Internal Medicine | Columbia Medical Clinic PC | 9995 Se 82nd Ave, Happy Valley, OR 97086-2301 |
| Jeffrey C Dart | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Karen Kuo | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Sharon E Mcneill | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| David Vitello | Nurse Practitioner | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Kristin Sentman Bendert | Family Medicine | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Eric D Brown | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Melissa Thompson | Physician Assistant | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Cathy Stores | Physical Therapy | Northwest Primary Care Group PC | 12119 Se Stevens Ct, Happy Valley, OR 97086-2620 |
| Kristen G Shaffer | Nurse Practitioner | Legacy Clinics LLC | 9361 Se 82nd Ave, Happy Valley, OR 97086-3645 |
| Find all physicians in zip 97086 | |||
| City | HAPPY VALLEY |
| Zip Code | 97086 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HAPPY VALLEY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jessica G Carroll.
| 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.