Jacqueline R Carruthers (NPI# 1972504967, PAC ID# 5294793899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972504967 |
| PAC ID by PECOS | 5294793899 |
| Professional Enrollment ID | I20111214000373 |
| Full Name | Jacqueline R Carruthers |
| Address |
7929 N Shepherd Dr A Houston TX 77088-6346 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450184 | MEMORIAL HERMANN HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 7929 N Shepherd Dr A, Houston, TX 77088-6346 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Street Address |
7929 N SHEPHERD DR A |
| City | HOUSTON |
| State | TX |
| Zip | 77088-6346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Damien B Sanderlin | Family Medicine | 8240 Antoine Dr, Suite 107, Houston, TX 77088-2522 | |
| Elizabeth A Hopson | Family Medicine | Ut Physicians | 818 Ringold, Ut Physicians Family Medicine Acres Home Clinic, Houston, TX 77088-6368 |
| Monika P Jadhav | Family Medicine | Ut Physicians | 818 Ringold, Ut Physicians Family Medicine Acres Home Clinic, Houston, TX 77088-6368 |
| Noelle S Knight | Clinical Social Worker | Ut Physicians | 7364 Antoine Dr, Houston, TX 77088-7230 |
| Chinh Tran | Optometry | 7330 Antoine Dr, Houston, TX 77088-7230 | |
| Sidharta K Seth | Psychiatry | Ut Physicians | 7364 Antoine Dr, Houston, TX 77088-7230 |
| Robbie L Neal | Nurse Practitioner | Ut Physicians | 7364 Antoine Dr, Houston, TX 77088-7230 |
| Madhumitha P Bezwada | Nurse Practitioner | Ut Physicians Specialty Services | 7364 Antoine Dr, Houston, TX 77088-7230 |
| Brittany N Baker | Clinical Social Worker | Ut Physicians | 7364 Antoine Dr, Houston, TX 77088-7230 |
| City | HOUSTON |
| Zip Code | 77088 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HOUSTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jacqueline R Carruthers.
| 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.