Jacquelyn C Jackson (NPI# 1023278843, PAC ID# 4981766755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1023278843 |
| PAC ID by PECOS | 4981766755 |
| Professional Enrollment ID | I20151015001617 |
| Full Name | Jacquelyn C Jackson |
| Organization Legal Name | CENTERS FOR ADVANCED ENT CARE LLC |
| Address |
818 W Diamond Ave Suite 120 Gaithersburg MD 20878-1450 |
| Phone Number | 3019636334 |
| Gender | F |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 1658647359 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450 | 3019636334 | CENTERS FOR ADVANCED ENT CARE LLC |
| 10801 Lockwood Dr, Suite 360, Silver Spring, MD 20901-1563 | 3015935200 | CENTERS FOR ADVANCED ENT CARE LLC |
| Organization Legal Name | CENTERS FOR ADVANCED ENT CARE LLC |
| Physicians | 112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan R Murphy | Qualified Audiologist | Centers for Advanced Ent Care LLC | 2070 Old Bridge Rd, Suite 103, Lake Ridge, VA 22192-2495 |
| Roraine Bunag | Qualified Audiologist | Centers for Advanced Ent Care LLC | 4000 Mitchellville Rd, Suite A414, Bowie, MD 20716-3142 |
| Manan Udayan Shah | Otolaryngology | Centers for Advanced Ent Care LLC | 11705 Berry Rd, Suite 103, Waldorf, MD 20603-5933 |
| Brittany Bailey Tuscany | Qualified Audiologist | Centers for Advanced Ent Care LLC | 2002 Medical Pkwy, Suite 230, Annapolis, MD 21401-3282 |
| Angela Marie Redpath | Physician Assistant | Centers for Advanced Ent Care LLC | 120 Sister Pierre Dr, Suite 202, Towson, MD 21204-7525 |
| Virginia L Wise | Qualified Audiologist | Centers for Advanced Ent Care LLC | 163 Thomas Johnson Dr, Suite H, Frederick, MD 21702-4673 |
| David James Hoyt | Otolaryngology | Centers for Advanced Ent Care LLC | 4 A N Ave, Suite 202, Bel Air, MD 21014-2316 |
| Annette M Pham | Otolaryngology | Centers for Advanced Ent Care LLC | 15001 Shady Grove Rd, Suite 100, Rockville, MD 20850-6354 |
| Cynthia A Fannon | Qualified Audiologist | Centers for Advanced Ent Care LLC | 6535 N Charles St, Suite 250, Baltimore, MD 21204-5829 |
| Sanjay Prasad | Otolaryngology | Centers for Advanced Ent Care LLC | 1101 Wootton Pkwy, Suite 900, Rockville, MD 20852-1082 |
| Street Address |
818 W DIAMOND AVE SUITE 120 |
| City | GAITHERSBURG |
| State | MD |
| Zip | 20878-1450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Ira Golden | Otolaryngology | Centers for Advanced Ent Care LLC | 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450 |
| Sherri L Dibattista | Qualified Audiologist | Centers for Advanced Ent Care LLC | 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450 |
| Christopher Sinha | Otolaryngology | Centers for Advanced Ent Care LLC | 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450 |
| Pankaj Lal | Cardiovascular Disease (cardiology) | 818 W Diamond Ave, Suite 240, Gaithersburg, MD 20878-1458 | |
| Teresa L Kendrick | Qualified Audiologist | Centers for Advanced Ent Care LLC | 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450 |
| Michael Arenstein | Otolaryngology | Centers for Advanced Ent Care LLC | 818 W Diamond Ave, Suite 120, Gaithersburg, MD 20878-1450 |
| Myriam Diatta | Nurse Practitioner | Privia Medical Group,llc | 818 W Diamond Ave, 130 Frekko Primary Care, Gaithersburg, MD 20878-1417 |
| Gina Carbonaro | Physician Assistant | Privia Medical Group,llc | 818 W Diamond Ave, 130 Frekko Primary Care, Gaithersburg, MD 20878-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anu Gupta | Radiation Oncology | 808 W Diamond Ave, Cancer Center At Gaithersburg LLC, Gaithersburg, MD 20878-1413 | |
| Herbert M Juarbe | Endocrinology | 806 W Diamond Ave, Suite 310, Gaithersburg, MD 20878-1415 | |
| Fatima Ghadially | Physical Therapy | 806 W Diamond Ave, Suite 200, Gaithersburg, MD 20878-1415 | |
| Sudhir Sekhsaria | Allergy/immunology | Family Ent Allergy and Asthma Center PC | 806 W Diamond Ave, Suite 360, Gaithersburg, MD 20878-1425 |
| Jacqueline S Eghrari-sabet | Allergy/immunology | Jacqueline Eghrari-sabet Md PC | 806 W Diamond Ave, Suite 360, Gaithersburg, MD 20878-1425 |
| Nasim Nicole Moshtagh | Allergy/immunology | Jacqueline Eghrari-sabet Md PC | 806 W Diamond Ave, Suite 360, Gaithersburg, MD 20878-1425 |
| Jay S Nokkeo | Oral Surgery | Integrative Oral and Facial Surgery Pa | 1 Bank St, Suite 240, Gaithersburg, MD 20878-1554 |
| Heng Ying I Chu | Oral Surgery | Integrative Oral and Facial Surgery Pa | 1 Bank St, Suite 240, Gaithersburg, MD 20878-1554 |
| Adam Matthew Epstein | Psychologist, Clinical | 847 Quince Orchard Blvd, Suite E, Gaithersburg, MD 20878-1677 | |
| Grace E Sagayadan | Internal Medicine | 847 -d Quince Orchard Blvd, Gaithersburg, MD 20878-1678 | |
| Find all physicians in zip 20878 | |||
| City | GAITHERSBURG |
| Zip Code | 20878 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | GAITHERSBURG + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Jacquelyn C 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.