Jaclyn S Liston-crandall (NPI# 1114145133, PAC ID# 4587756069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114145133 |
| PAC ID by PECOS | 4587756069 |
| Professional Enrollment ID | I20070829000105 |
| Full Name | Jaclyn S Liston-crandall |
| Organization Legal Name | ELLA E.M. BROWN CHARITABLE CIRCLE |
| Address |
200 N Madison St Marshall MI 49068-1143 |
| Phone Number | 2697814271 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254228745 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230217 | OAKLAWN HOSPITAL |
| 230022 | COMMUNITY HEALTH CENTER OF BRANCH COUNTY |
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| 230117 | BORGESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 N Madison St, Marshall, MI 49068-1143 | 2697814271 | ELLA E.M. BROWN CHARITABLE CIRCLE |
| Organization Legal Name | ELLA E.M. BROWN CHARITABLE CIRCLE |
| Physicians | 99 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany B Stealy | Nurse Practitioner | Ella E.m. Brown Charitable Circle | 300 B Dr N, Albion, MI 49224-8420 |
| Yolanda H Cobley | Nurse Practitioner | Ella E.m. Brown Charitable Circle | 215 E Mansion St, 2e West Michigan Cancer Center Oaklawn Hosp Campus, Marshall, MI 49068-1559 |
| Sami Ahmed | Family Medicine | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Tiffany M Burns | Family Medicine | Ella E.m. Brown Charitable Circle | 375 N Willowbrook Rd, Oaklawn Medical Group, Coldwater, MI 49036-8847 |
| Sumita Saha | Plastic and Reconstructive Surgery | Ella E.m. Brown Charitable Circle | 13697 15 Mile Rd, Marshall, MI 49068-8533 |
| Carlos H Martinez | Pulmonary Disease | Ella E.m. Brown Charitable Circle | 103 E Mansion St, Marshall, MI 49068-1117 |
| Michael James Chapman | Emergency Medicine | Ella E.m. Brown Charitable Circle | 111 S Hamilton St, Marshall, MI 49068-1537 |
| Joshua D Munro | Family Medicine | Ella E.m. Brown Charitable Circle | 420 S Hillsdale, Homer, MI 49245-1248 |
| James C Maher | Internal Medicine | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Urvish K Shah | Gastroenterology | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Street Address |
200 N MADISON ST |
| City | MARSHALL |
| State | MI |
| Zip | 49068-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sami Ahmed | Family Medicine | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| James C Maher | Internal Medicine | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Urvish K Shah | Gastroenterology | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Sharon L Boyce | Family Medicine | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Thomas J Farchone | Family Medicine | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Joshua M Rich | Certified Registered Nurse Anesthetist (crna) | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Amanda Bergan | Nurse Practitioner | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Amanda Doris Mitchell | Physician Assistant | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Ryan Allen Nelson | Orthopedic Surgery | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Daniel T. Piedmonte | Emergency Medicine | Kalamazoo Emergency Associates, Plc | 200 N Madison St, Marshall, MI 49068-1143 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos H Martinez | Pulmonary Disease | Ella E.m. Brown Charitable Circle | 103 E Mansion St, Marshall, MI 49068-1117 |
| Alcides E Gil-acosta | Pulmonary Disease | Ella E.m. Brown Charitable Circle | 103 E Mansion St, Marshall, MI 49068-1117 |
| Kathryn M Young | Obstetrics/gynecology | 139 W Mansion St, Marshall, MI 49068-1119 | |
| Jennifer Collier | Nurse Practitioner | Advanced Gynecology Specialist of Marshall Pllc | 139 W Mansion St, Marshall, MI 49068-1119 |
| Jennifer D Eilola | Nurse Practitioner | Pain Management Group Pllc | 200 N Mansion St, 3c, Marshall, MI 49068-1143 |
| Matthew Griffiths | Physician Assistant | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Deepa S Macha | Emergency Medicine | Kalamazoo Emergency Associates, Plc | 200 N Madison St, Marshall, MI 49068-1143 |
| Catherine A Burtrum | General Surgery | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Andrew J Gordon | General Surgery | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Lisa D Arnold | Certified Registered Nurse Anesthetist (crna) | Ella E.m. Brown Charitable Circle | 200 N Madison St, Marshall, MI 49068-1143 |
| Find all physicians in zip 49068 | |||
| City | MARSHALL |
| Zip Code | 49068 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MARSHALL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jaclyn S Liston-crandall.
| 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.