Jordan M Wills (NPI# 1407115074, PAC ID# 5890925226) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1407115074 |
| PAC ID by PECOS | 5890925226 |
| Professional Enrollment ID | I20150917001187 |
| Full Name | Jordan M Wills |
| Organization Legal Name | ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY |
| Address |
813 Fay Rd Syracuse NY 13219-3009 |
| Phone Number | 3154882831 |
| Gender | M |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2012 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 5890765911 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330203 | CROUSE HOSPITAL |
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| 330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 736 Irving Ave, Syracuse, NY 13210-1687 | 3154707686 | CROUSE HEALTH HOSPITAL INC |
| 813 Fay Rd, Syracuse, NY 13219-3009 | 3154882831 | ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY |
| Organization Legal Name | ST. CAMILLUS RESIDENTIAL HEALTH CARE FACILITY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin R Baker | Nurse Practitioner | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Thomas S Hartzheim | General Surgery | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Donna A Gillette | Nurse Practitioner | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Michael J Brodowski | Internal Medicine | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Street Address |
813 FAY RD |
| City | SYRACUSE |
| State | NY |
| Zip | 13219-3009 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David M Kanter | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Martin R Baker | Nurse Practitioner | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Bernadette Dunn | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Thomas D Masten | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Stephen R Lebduska | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Shernaz K Hurlong | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Paul H Trela | Nurse Practitioner | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Gizelda Tb Casella | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Thomas S Hartzheim | General Surgery | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Donna A Gillette | Nurse Practitioner | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter W Calabrese | Podiatry | 2105 W Genesee St, Syracuse, NY 13219-1656 | |
| Gary J Dunner | Clinical Social Worker | 2105 W Genesee St, Suite 113, Syracuse, NY 13219-1676 | |
| Phitsamai J Thatvihane | Nurse Practitioner | Wellnow Urgent Care PC | 3504 W Genesee St, Suite 1b, Syracuse, NY 13219-2012 |
| Caitlin Coleman | Nurse Practitioner | Wellnow Urgent Care PC | 3504 W Genesee St, Suite 1b, Syracuse, NY 13219-2012 |
| James A Steinman | Family Medicine | Wellnow Urgent Care PC | 3504 W Genesee St, Suite 1b, Syracuse, NY 13219-2012 |
| Scott L Treatman | Family Practice | Ny Urgent Care Practice PC | 3504 W Genesee St, Suite 1b, Syracuse, NY 13219-2012 |
| Robert J Davies | Chiropractic | 757 Fay Rd, Syracuse, NY 13219-3007 | |
| Michael J Brodowski | Internal Medicine | St. Camillus Residential Health Care Facility | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Waleed S Hamam | Physical Medicine and Rehabilitation | Physical Medicine and Rehab Medical Service Group | 813 Fay Rd, Syracuse, NY 13219-3009 |
| Jennifer M Chiarilli | Clinical Social Worker | 2700 Bellevue Ave, Syracuse, NY 13219-3238 | |
| Find all physicians in zip 13219 | |||
| City | SYRACUSE |
| Zip Code | 13219 |
| Specialty | HOSPITALIST |
| City + Specialty | SYRACUSE + HOSPITALIST |
Please comment or provide details below to improve the information on Jordan M Wills.
| 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.