Shaun C Jackson (NPI# 1407013691, PAC ID# 5092889022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1407013691 |
| PAC ID by PECOS | 5092889022 |
| Professional Enrollment ID | I20080808000236 |
| Full Name | Shaun C Jackson |
| Organization Legal Name | CONSULTANTS IN PAIN MEDICINE, PA |
| Address |
2902 Goliad Rd Suite 105 San Antonio TX 78223-3958 |
| Phone Number | 2108059800 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2003 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 2163492786 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670054 | FOUNDATION SURGICAL HOSPITAL OF SAN ANTONIO |
| 450237 | CHRISTUS SANTA ROSA MEDICAL CENTER |
| 450058 | BAPTIST MEDICAL CENTER |
| 450388 | METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2902 Goliad Rd, Suite 105, San Antonio, TX 78223-3958 | 2108059800 | CONSULTANTS IN PAIN MEDICINE, PA |
| 5364 Fredericksburg Rd, Suite 100, San Antonio, TX 78229-6107 | 2108059800 | CONSULTANTS IN PAIN MEDICINE, PA |
| Organization Legal Name | CONSULTANTS IN PAIN MEDICINE, PA |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Jimenez Davila | Nurse Practitioner | Consultants In Pain Medicine, Pa | 7003 S New Braunfels Ave, Suite 106, San Antonio, TX 78223-4589 |
| Donald Thomas Stevenson | Physician Assistant | Consultants In Pain Medicine, Pa | 332 W Sunset Rd, Suite 3, San Antonio, TX 78209-1755 |
| Jeffrey Conroy | Certified Registered Nurse Anesthetist (crna) | Consultants In Pain Medicine, Pa | 5364 Fredericksburg Rd, Suite 100, San Antonio, TX 78229-6107 |
| Irene L Coronado | Nurse Practitioner | Consultants In Pain Medicine, Pa | 4680 Lockhill Selma Rd, Suite 200, Shavano Park, TX 78249-2094 |
| Christian Renae Longoria | Nurse Practitioner | Consultants In Pain Medicine, Pa | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2087 |
| Stephanie S Jones | Interventional Pain Management | Consultants In Pain Medicine, Pa | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2087 |
| Naomie M Moe | Certified Registered Nurse Anesthetist (crna) | Consultants In Pain Medicine, Pa | 5364 Fredericksburg Rd, Suite 100, San Antonio, TX 78229-6107 |
| Amy O Azih | Physician Assistant | Consultants In Pain Medicine, Pa | 332 W Sunset Rd, Suite 3, San Antonio, TX 78209-1755 |
| Raul G Martinez | Interventional Pain Management | Consultants In Pain Medicine, Pa | 7003 S New Braunfels Ave, Suite 106, San Antonio, TX 78223-4589 |
| Tarah E Wood | Physician Assistant | Consultants In Pain Medicine, Pa | 423 Treeline Park, Suite 325, San Antonio, TX 78209-2087 |
| Street Address |
2902 GOLIAD RD SUITE 105 |
| City | SAN ANTONIO |
| State | TX |
| Zip | 78223-3958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tori Marie Haynes | Physical Therapy | Texas Physical Therapy Specialists | 2902 Goliad Rd, Suite 101, San Antonio, TX 78223-3973 |
| Kyndal Elizabeth Cantu | Physical Therapy | Texas Physical Therapy Specialists | 2902 Goliad Rd, Suite 101, San Antonio, TX 78223-3973 |
| Shirley Doepke | Certified Registered Nurse Anesthetist | Consultants In Pain Medicine, Pa | 2902 Goliad Rd, Suite 105, San Antonio, TX 78223-3958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy L Ryan | Chiropractic | 458 Pamela Dr, San Antonio, TX 78223-1226 | |
| Martha Elizabeth Guadamud Pacheco | Family Medicine | Gmg Health Systems Associates, Pa | 3520 S New Braunfels, Suite 106a, San Antonio, TX 78223-1404 |
| Beth A Wichman | Family Practice | 1339 Fair Ave, San Antonio, TX 78223-1437 | |
| Omar David Garza | Optometry | 1343 Fair Ave, San Antonio, TX 78223-1437 | |
| Edgardo Benavides | Family Practice | 1339 Fair Ave, San Antonio, TX 78223-1437 | |
| Richard Hernandez Jr. | Family Practice | 1339 Fair Ave, San Antonio, TX 78223-1437 | |
| Bridget Sedano Haggerty | Nurse Practitioner | Community Medicine Associates | 1055 Ada St, San Antonio, TX 78223-1703 |
| Hannah Mckee-kennedy | Family Medicine | Community Medicine Associates | 1055 Ada St, San Antonio, TX 78223-1703 |
| Amy Cobb | Internal Medicine | Community Medicine Associates | 1055 Ada St, San Antonio, TX 78223-1703 |
| Josefina Cochetti | Nurse Practitioner | Community Medicine Associates | 1055 Ada St, San Antonio, TX 78223-1703 |
| Find all physicians in zip 78223 | |||
| City | SAN ANTONIO |
| Zip Code | 78223 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | SAN ANTONIO + INTERVENTIONAL PAIN MANAGEMENT |
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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.