Carly Anne Jackson (NPI# 1053696971, PAC ID# 3577738244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1053696971 |
| PAC ID by PECOS | 3577738244 |
| Professional Enrollment ID | I20180928001725 |
| Full Name | Carly Anne Jackson |
| Organization Legal Name | MID-COLUMBIA MEDICAL CENTER |
| Address |
33 Nichols Pkwy Hood River OR 97031-3121 |
| Phone Number | 5413081010 |
| Gender | F |
| Medical School | MIDDLESEX UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779487251 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 33 Nichols Pkwy, Hood River, OR 97031-3121 | 5413081010 | MID-COLUMBIA MEDICAL CENTER |
| 1700 E 19th St, The Dalles, OR 97058-3317 | 5412961111 | MID-COLUMBIA MEDICAL CENTER |
| 1805 E 19th St, The Dalles, OR 97058-3365 | 5412962201 | MID-COLUMBIA MEDICAL CENTER |
| 551 Lone Pine Blvd, The Dalles, OR 97058-9404 | MID-COLUMBIA MEDICAL CENTER |
| Organization Legal Name | MID-COLUMBIA MEDICAL CENTER |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin K Mccarthy | General Surgery | Mid-columbia Medical Center | 1810 E 19th St, Suite 225, The Dalles, OR 97058-3388 |
| Melinda Cushing Riter | Dermatology | Mid-columbia Medical Center | 2690 May St, Hood River, OR 97031-9786 |
| Nathan F E Ullrich | Urology | Mid-columbia Medical Center | 1805 E 19th St, The Dalles, OR 97058-3365 |
| Paul J Cardosi | Internal Medicine | Mid-columbia Medical Center | 551 Lone Pine Blvd, Suite 302, The Dalles, OR 97058-9404 |
| Robert C Florek | Cardiac Electrophysiology | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Jennifer Hanlon-wilde | Nurse Practitioner | Mid-columbia Medical Center | 1620 E 12th St, The Dalles, OR 97058-3213 |
| Robert J Alaimo Jr. | Family Medicine | Mid-columbia Medical Center | 1620 E 12th St, The Dalles, OR 97058-3213 |
| Nicole M Pashek | Nurse Practitioner | Mid-columbia Medical Center | 1620 E 12th St, The Dalles, OR 97058-3213 |
| Jason R Morich | Internal Medicine | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Emma Peiris | Internal Medicine | Mid-columbia Medical Center | 551 Lone Pine Blvd, The Dalles, OR 97058-9404 |
| Street Address |
33 NICHOLS PKWY |
| City | HOOD RIVER |
| State | OR |
| Zip | 97031-3121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mrinal Yadava | Cardiovascular Disease (cardiology) | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| James E Meeker | Orthopedic Surgery | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| Ashlyn L Williams | Physician Assistant | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| Jeffrey J Horacek | Internal Medicine | 33 Nichols Pkwy, Suite 300, Hood River, OR 97031-3121 | |
| James P Reardon | Orthopedic Surgery | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| Kevin S Wei | Cardiovascular Disease (cardiology) | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| Morgan Nolan | Physician Assistant | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick G Williams Iv | Clinical Social Worker | Mid-columbia Center for Living | 1610 Woods Court, Hood River, OR 97031 |
| Rachel L Weisser | Clinical Social Worker | Mid-columbia Center for Living | 1610 Woods Court, Hood River, OR 97031 |
| Lynette N Alber | Nurse Practitioner | Mid-columbia Center for Living | 1610 Woods Court, Hood River, OR 97031 |
| Glen R Patrizio | Family Medicine | Mid-columbia Center for Living | 1610 Woods Court, Hood River, OR 97031 |
| Dennis C Crawford | Orthopedic Surgery | University Professional Services | 811 13th St, Hood River, OR 97031-1204 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Jeffrey F Kopecky | Certified Registered Nurse Anesthetist (crna) | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Ryan C Petersen | Hospitalist | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Stephen P Vogt | Hospitalist | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Michael J Tuohy | Anesthesiology | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Find all physicians in zip 97031 | |||
| City | HOOD RIVER |
| Zip Code | 97031 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HOOD RIVER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Carly Anne 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.