Janice L. Fawcett (NPI# 1609203249, PAC ID# 4880996578) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609203249 |
| PAC ID by PECOS | 4880996578 |
| Professional Enrollment ID | I20161108002498 |
| Full Name | Janice L. Fawcett |
| Organization Legal Name | OLD PUEBLO HEALTHCARE LLC |
| Address |
286 S Lenzner Ave Sierra Vista AZ 85635-5685 |
| Phone Number | 5204520388 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981607512 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030043 | CANYON VISTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 | 5204520388 | OLD PUEBLO HEALTHCARE LLC |
| Organization Legal Name | OLD PUEBLO HEALTHCARE LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Pellerito Jr. | Internal Medicine | Old Pueblo Healthcare LLC | 5981 E Grant Rd, Suite 115, Tucson, AZ 85712-2363 |
| Carolyn B Schooley | Nurse Practitioner | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Craig W Connor | Physician Assistant | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Heather D Jones | Physician Assistant | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Dustin A Smith | Nurse Practitioner | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Lynn M Kling | Nurse Practitioner | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Michael P Ridge | Internal Medicine | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Kevin G Hall | Physician Assistant | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Catherine Hallmark | Nurse Practitioner | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| John N Herrod | Internal Medicine | Old Pueblo Healthcare LLC | 560 N Camino Mercado, Suite 7, Casa Grande, AZ 85122-5759 |
| Street Address |
286 S LENZNER AVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip | 85635-5685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey V Wilde | Family Medicine | Lenzner Medical Services LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Heather D Jones | Physician Assistant | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Lynn M Kling | Nurse Practitioner | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Celia R Elias | Family Medicine | Old Pueblo Healthcare LLC | 286 S Lenzner Ave, Sierra Vista, AZ 85635-5685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly B Smith | Chiropractic | 2123 S Hwy 92, Sierra Vista, AZ 85635 | |
| Lincoln J Daynes | Optometry | 400 W Fry Blvd, Suite 9, Sierra Vista, AZ 85635-1760 | |
| Matthew Robert Genz | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Louise Nosanchuck | Family Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Everett R Castle | Emergency Medicine | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| Jason David Steinberg | Nurse Practitioner | High Desert Clinic Urgent and Occupational Care LLC | 77 E Fry Blvd, Sierra Vista, AZ 85635-1813 |
| James Garet Goodman | Chiropractic | 222 E Fry Blvd, Sierra Vista, AZ 85635-1817 | |
| Benjamin K Sarsah | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Purba Biswas | Internal Medicine | 629 N Hwy 90, Sierra Vista, AZ 85635-2257 | |
| Mohammed A J Sikder | Nephrology | Southwest Kidney Institute, Plc | 629 N Hwy 90 Byp, Suite G, Sierra Vista, AZ 85635-2257 |
| Find all physicians in zip 85635 | |||
| City | SIERRA VISTA |
| Zip Code | 85635 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SIERRA VISTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Janice L. Fawcett.
| 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.