Amanda Jackson (NPI# 1376106591, PAC ID# 5991031759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1376106591 |
| PAC ID by PECOS | 5991031759 |
| Professional Enrollment ID | I20190731003236 |
| Full Name | Amanda Jackson |
| Organization Legal Name | SOUTHERN REGIONAL ANESTHESIOLOGY CONSULTANTS PLLC |
| Address |
300 Werner St Hot Springs AR 71913-6406 |
| Phone Number | 5016221000 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2961633870 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040026 | ST VINCENT HOT SPRINGS |
| Address | Phone | Organization |
|---|---|---|
| 300 Werner St, Hot Springs, AR 71913-6406 | 5016221000 | SOUTHERN REGIONAL ANESTHESIOLOGY CONSULTANTS PLLC |
| Organization Legal Name | SOUTHERN REGIONAL ANESTHESIOLOGY CONSULTANTS PLLC |
| Physicians | 91 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis Mosley | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Megan Turchi | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 6119 Midtown Ave, Little Rock, AR 72205-5313 |
| Deborah Wilmoth | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
| Rukmin R Hettiarachchy | Anesthesiology | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| Dylan E Rainwater | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| Neesa Jill Mccollum-flaxman | Anesthesiology | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| Lori Piper | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 |
| John Miles | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| Gregory Lux | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
| Carroll J Kraus | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 4 Hospital Dr, Morrilton, AR 72110-4510 |
| Street Address |
300 WERNER ST |
| City | HOT SPRINGS |
| State | AR |
| Zip | 71913-6406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph C Fendley | Nurse Practitioner | Chi St Vincent Hospital Hot Springs | 300 Werner St, Hot Springs, AR 71913-6406 |
| Stephen E Sturdivant | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Rukmin R Hettiarachchy | Anesthesiology | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| Neesa Jill Mccollum-flaxman | Anesthesiology | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| John Miles | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| Natasa C Jenson | Emergency Medicine | Chi St Vincent Hospital Hot Springs | 300 Werner St, Hot Springs, AR 71913-6406 |
| Katherine R Steward | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| James W Hendrix Ii | Certified Registered Nurse Anesthetist (crna) | Southern Regional Anesthesiology Consultants Pllc | 300 Werner St, Hot Springs, AR 71913-6406 |
| Kristin M Dishongh | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Perkins Mukunyadzi | Pathology | Arkansas Pathology Associates Pa | 300 Werner St, Hot Springs, AR 71913-6406 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie A Cardenas | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Amy Gordon | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Brock A Warford | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Mary Z Thaxton | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Clinton H Henson | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Misty L. Foshee | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Margaret B Larrimer | Obstetrics/gynecology | Chi St Vincent Medical Group Hot Springs | 118 Womens Ctr Ln, Suite B, Hot Springs, AR 71913 |
| Jamie C Irwin | Pediatric Medicine | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
| Mandi E Bohlen | Nurse Practitioner | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
| Jenny Navarro | Internal Medicine | Chi St Vincent Medical Group Hot Springs | 2825 Albert Pike Rd, Hot Springs National Park, AR 71913-2619 |
| Find all physicians in zip 71913 | |||
| City | HOT SPRINGS |
| Zip Code | 71913 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | HOT SPRINGS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Amanda Jackson.
| 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.