Jackson E Tillquist (NPI# 1720442940, PAC ID# 4183912934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720442940 |
| PAC ID by PECOS | 4183912934 |
| Professional Enrollment ID | I20161011000384 |
| Full Name | Jackson E Tillquist |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Address |
1840 Mease Dr Suite 200 Safety Harbor FL 34695-6604 |
| Phone Number | 7277248611 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6406753623 |
| Number of Group Practice Members | 610 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| 100265 | MORTON PLANT MEASE HEALTHCARE COUNTRYSIDE |
| Address | Phone | Organization |
|---|---|---|
| 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6604 | 7277248611 | BAYCARE MEDICAL GROUP, INC. |
| Organization Legal Name | BAYCARE MEDICAL GROUP, INC. |
| Physicians | 577 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Gannon | Family Medicine | Baycare Medical Group, Inc. | 2531 Landmark Dr, Suite 103, Clearwater, FL 33761-3928 |
| Okwudili Okpaleke | Family Medicine | Baycare Medical Group, Inc. | 10141 Big Bend Rd, Suite 206, Riverview, FL 33578-7419 |
| Brian P Mcdaniel | Family Medicine | Baycare Medical Group, Inc. | 400 Pinellas St, Clearwater, FL 33756-3312 |
| Nickole A Bacon | Nurse Practitioner | Baycare Medical Group, Inc. | 2525 Pasadena Ave S, Suite U, South Pasadena, FL 33707-4559 |
| Fred H Brennan Jr. | Family Medicine | Baycare Medical Group, Inc. | 807 N Myrtle Ave, Clearwater, FL 33755-4254 |
| Farshad Anvari | Thoracic Surgery | Baycare Medical Group, Inc. | 3003 W Dr Martin Luther King Jr Blvd, Mab 2nd Floor, Tampa, FL 33607-6307 |
| Thomas E Applegate | Hospitalist | Baycare Medical Group, Inc. | 6901 Simmons Loop, Suite 4, Riverview, FL 33578-9498 |
| Christopher N Nobo | Gastroenterology | Baycare Medical Group, Inc. | 2000 Osprey Blvd, Suite 110, Bartow, FL 33830-4347 |
| Jennifer Rebecca Chambers | Family Medicine | Baycare Medical Group, Inc. | 5405 Park N St, Saint Petersburg, FL 33709-1044 |
| Darryl B Bain | Nurse Practitioner | Baycare Medical Group, Inc. | 6633 Forest Ave, Suite 300, New Port Richey, FL 34653-2612 |
| Street Address |
1840 MEASE DR SUITE 200 |
| City | SAFETY HARBOR |
| State | FL |
| Zip | 34695-6604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vakesh Rajani | Internal Medicine | Rajani Medical Group LLC | 1840 Mease Dr, 401b, Safety Harbor, FL 34695-6606 |
| Dan M Sodano | Cardiovascular Disease (cardiology) | Morton Plant Mease Diagnostic Cardiology LLC | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6604 |
| Atta U Butt | Internal Medicine | Atta U Butt Pa | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6606 |
| Mark J Hepp | Cardiovascular Disease (cardiology) | Clearwater Cardiovascular and Interventional Consultants Md Pa | 1840 Mease Dr, Suite 202, Safety Harbor, FL 34695-6604 |
| James M Zachary | Urology | Advanced Urology Institute, LLC | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6605 |
| Richard Sola | Interventional Cardiology | Clearwater Cardiovascular and Interventional Consultants Md Pa | 1840 Mease Dr, Suite 202, Safety Harbor, FL 34695-6604 |
| Paulas Madhusudan Vyas | Urology | Advanced Urology Institute, LLC | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6605 |
| Heather Anne Ramous | Nurse Practitioner | Respiratory Specialists Pl | 1840 Mease Dr, Suite 307, Safety Harbor, FL 34695-6605 |
| Jessica M Hood | Physician Assistant | Rajani Medical Group LLC | 1840 Mease Dr, 401b, Safety Harbor, FL 34695-6606 |
| James D Gallagher | Obstetrics/gynecology | Florida Woman Care LLC | 1840 Mease Dr, Suite 400, Safety Harbor, FL 34695-6606 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Wagner-rohrs | Clinical Social Worker | Cotler Healthcare and Development Inc | 1410 Dr Ml King Jr St N, Safety Harbor, FL 34695-3303 |
| Dianne A. Young | Clinical Social Worker | 935 Main St, C1, Safety Harbor, FL 34695-3400 | |
| Jazmin Abreu | Clinical Psychologist | Emergent Care Psychologists Pa | 132 10 Ave N, Suite 103, Safety Harbor, FL 34695-3407 |
| Esther L Klein | Clinical Social Worker | 132 10th Ave N, Suite 103, Safety Harbor, FL 34695-3407 | |
| Michael S Greenberg | Clinical Psychologist | Emergent Care Psychologists Pa | 132 10 Ave N, Suite 103, Safety Harbor, FL 34695-3407 |
| Sara Kate Zachary Thompson | Clinical Psychologist | Emergent Care Psychologists Pa | 132 10 Ave N, Suite 103, Safety Harbor, FL 34695-3407 |
| Owen Linder | Internal Medicine | 960 Main St, Safety Harbor, FL 34695-3454 | |
| Barbara J. Lubben | Chiropractic | 945 Main St, Safety Harbor, FL 34695-3455 | |
| Jacqueline M Currier | Clinical Social Worker | 935 Main St, Suite B2, Safety Harbor, FL 34695-3471 | |
| Millie A Williams | Clinical Social Worker | Family Psychology Associates Inc | 801 2nd St N, Suite 7, Safety Harbor, FL 34695-3562 |
| Find all physicians in zip 34695 | |||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SAFETY HARBOR + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jackson E Tillquist.
| 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.