Jackie J Sutherland (NPI# 1720088347, PAC ID# 4082682117) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1720088347 |
| PAC ID by PECOS | 4082682117 |
| Professional Enrollment ID | I20040917000098 |
| Full Name | Jackie J Sutherland |
| Address |
603 Teaco Rd Kennett MO 63857-3723 |
| Phone Number | 5737177676 |
| Gender | F |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041330 | PIGGOTT COMMUNITY HOSPITAL |
| 040020 | ST BERNARDS MEDICAL CENTER |
| 040118 | NEA BAPTIST MEMORIAL HOSPITAL |
| 040039 | ARKANSAS METHODIST MEDICAL CENTER |
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 603 Teaco Rd, Kennett, MO 63857-3723 | 5737177676 |
| Street Address |
603 TEACO RD |
| City | KENNETT |
| State | MO |
| Zip | 63857-3723 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa L Brasher | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan G Helms | Clinical Social Worker | Family Counseling Center Inc | Bldg 925 Hwy Vv, Kennett, MO 63857-0071 |
| Brenda J Gray | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Clea M Fairaizl | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Larina J Ditto | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Carlos A. Salgueiro | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Stephanie A Flynn | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Susan Brooks Hanks | Clinical Social Worker | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Karl E. Shanstrom | Family Medicine | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Ravdeep S Khanuja | Psychiatry | Family Counseling Center Inc | 925 Hwy Vv, Kennett, MO 63857-0071 |
| Find all physicians in zip 63857 | |||
| City | KENNETT |
| Zip Code | 63857 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KENNETT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jackie J Sutherland.
| 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.