Jerrel Boyer (NPI# 1083785075, PAC ID# 5092704262) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1083785075 |
| PAC ID by PECOS | 5092704262 |
| Professional Enrollment ID | I20070724000413 |
| Full Name | Jerrel Boyer |
| Organization Legal Name | FRESH START HEALTH PSC |
| Address |
336 29th St Suite 203 Ashland KY 41101-1932 |
| Phone Number | 6069231124 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 6204184997 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140182 | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER |
| 140114 | SWEDISH COVENANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 336 29th St, Suite 203, Ashland, KY 41101-1932 | 6069231124 | FRESH START HEALTH PSC |
| 214 Mchenry Rd, Buffalo Grove, IL 60089-6748 | 8474591160 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 2320 E 93rd St, Chicago, IL 60617-3983 | 7739674130 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 2320 E 93rd St, Trinity Hospital, Chicago, IL 60617-3983 | 7739672000 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 3048 N Wilton, 3rd Flr, Chicago, IL 60657-5147 | 7732965420 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 4025 N Western Ave, Chicago, IL 60618-3726 | 7732757700 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 836 W Wellington, Chicago, IL 60657-5147 | ADVOCATE HEALTH AND HOSPITALS CORPORATION | |
| 836 W Wellington Ave, Chicago, IL 60657-5147 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| Organization Legal Name | FRESH START HEALTH PSC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Shannon | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Freda Fields | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Street Address |
336 29TH ST SUITE 203 |
| City | ASHLAND |
| State | KY |
| Zip | 41101-1932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Shannon | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| Mayola Boykin | Diagnostic Radiology | Ashland Radiology Associates Psc | 336 29th St, Suite 101, Ashland, KY 41101-1976 |
| Timothy K Dixon | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| Scott E Moore | Diagnostic Radiology | Ashland Radiology Associates Psc | 336 29th St, Suite 101, Ashland, KY 41101-1976 |
| Erik S Fraley | Diagnostic Radiology | Ashland Radiology Associates Psc | 336 29th St, Suite 101, Ashland, KY 41101-1976 |
| Freda Fields | Nurse Practitioner | Fresh Start Health Psc | 336 29th St, Suite 203, Ashland, KY 41101-1932 |
| William H Boykin Jr. | Urology | Kings Daughters Medical Specialties Inc | 336 29th St, Suite 100, Ashland, KY 41101-1900 |
| Jolinda Dillow | Dermatology | 336 29th St, Suite 201, Ashland, KY 41101-1932 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Marshall | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Marcos Estrada Gomez | Rheumatology | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Julie Ann Estep | Nurse Practitioner | Bellefonte Physician Services Inc | 2930 Carter Ave, Ashland, KY 41101-1943 |
| Leslie L Calico | Physical Therapy | Ironton Physcial Therapy Inc | 2700 Greenup Ave, Ashland, KY 41101-1953 |
| Dwain P Porter | Chiropractic | 717 Wheatley Rd, Ashland, KY 41101-2347 | |
| Marybeth Little | Clinical Social Worker | Lighthouse Professional Counseling Services Pllc | 700 Wheatley Rd, Ashland, KY 41101-2348 |
| Phillip Maroudis | Optometry | Phillip Maroudis Od Psc and John Morton Ptr | 1201 13th St, Ashland, KY 41101-2607 |
| John W Morton | Optometry | Phillip Maroudis Od Psc and John Morton Ptr | 1201 13th St, Ashland, KY 41101-2607 |
| Justin F Swann | Chiropractic | 613 13th St, Ashland, KY 41101-2617 | |
| Brian Keith Bailey | Podiatry | 500 14th St, Ashland, KY 41101-2622 | |
| Find all physicians in zip 41101 | |||
| City | ASHLAND |
| Zip Code | 41101 |
| Specialty | NEUROSURGERY |
| City + Specialty | ASHLAND + NEUROSURGERY |
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| 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.