Jeffrey Ickler (NPI# 1477656528, PAC ID# 5395928394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1477656528 |
| PAC ID by PECOS | 5395928394 |
| Professional Enrollment ID | I20110329000847 |
| Full Name | Jeffrey Ickler |
| Organization Legal Name | SOUTHEASTERN SURGICAL SPECIALIST, P.C. |
| Address |
1700 Springhill Ave Suite 400 Mobile AL 36604-1416 |
| Phone Number | 2514384440 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4183600554 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 Springhill Ave, Suite 400, Mobile, AL 36604-1416 | 2514384440 | SOUTHEASTERN SURGICAL SPECIALIST, P.C. |
| Organization Legal Name | SOUTHEASTERN SURGICAL SPECIALIST, P.C. |
| Physicians | 1 |
| Street Address |
1700 SPRINGHILL AVE SUITE 400 |
| City | MOBILE |
| State | AL |
| Zip | 36604-1416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zaid Alnoah | Gastroenterology | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Lawanda S Fantroy | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Sudeep Rao | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Tracey M Jones | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Daniela Weatherly | Family Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Crystal L Dorriety | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Marcia Littles | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Shannon K Harris | Nurse Practitioner | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| William C Hicks Iii | Internal Medicine | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Chibuzo Clement Odigwe | Pulmonary Disease | Imc-diagnostic and Medical Clinic PC | 1700 Springhill Ave, Suite 100, Mobile, AL 36604-1416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy Bartel | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Regena Simpson | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 1s, Mobile, AL 36604 |
| Eva M Alnajjar | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Devin W Hudson | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 3n, Mobile, AL 36604 |
| Bassam Husam Rimawi | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Charles R Hanes Ii | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Melanie J Giambrone | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Sterling Wayne Mccolgin | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| William Kilgo | Neurology | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Amelia R Hewes | Obstetrics/gynecology | University of South Alabama | 1601 Ctr St, Suite 3 S, Mobile, AL 36604 |
| Find all physicians in zip 36604 | |||
| City | MOBILE |
| Zip Code | 36604 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MOBILE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jeffrey Ickler.
| 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.