Lauren Jackson (NPI# 1912396086, PAC ID# 6002132503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1912396086 |
| PAC ID by PECOS | 6002132503 |
| Professional Enrollment ID | I20190709001950 |
| Full Name | Lauren Jackson |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Address |
1750 Thompson Rd Coos Bay OR 97420-2100 |
| Phone Number | 5412690333 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254307994 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380020 | MCKENZIE-WILLAMETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1750 Thompson Rd, Coos Bay, OR 97420-2100 | 5412690333 | MCKENZIE PHYSICIAN SERVICES LLC |
| 1460 G St, Springfield, OR 97477-4112 | 5417448613 | MCKENZIE PHYSICIAN SERVICES LLC |
| 960 N 16th St, Springfield, OR 97477-4175 | MCKENZIE PHYSICIAN SERVICES LLC |
| Organization Legal Name | MCKENZIE PHYSICIAN SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Martin | Nurse Practitioner | Mckenzie Physician Services LLC | 960 N 16th St, Suite 200, Springfield, OR 97477-4175 |
| Craig A Peck | Nurse Practitioner | Mckenzie Physician Services LLC | 4480g Hwy 101, Florence, OR 97439-8910 |
| John Egar | Internal Medicine | Mckenzie Physician Services LLC | 705 9th St, Florence, OR 97439-8479 |
| Kristen Dodd | Physician Assistant | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kimya Nguyen | Gastroenterology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jose Viramontes | Vascular Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Teresa Meagher Lanier | Family Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Ian L Liao | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Mhd Tarek Nashawi | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Patrick J Bergin | Interventional Cardiology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Street Address |
1750 THOMPSON RD |
| City | COOS BAY |
| State | OR |
| Zip | 97420-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol S. Frank | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kristen Dodd | Physician Assistant | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Kimya Nguyen | Gastroenterology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Jose Viramontes | Vascular Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Teresa Meagher Lanier | Family Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Ian L Liao | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Mhd Tarek Nashawi | Internal Medicine | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Bruce L Bobek | Internal Medicine | Bay Clinic | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Patrick J Bergin | Interventional Cardiology | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| John M Armitage | Cardiac Surgery | Mckenzie Physician Services LLC | 1750 Thompson Rd, Coos Bay, OR 97420-2100 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shu-wen Cheng | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Denise J Gontiz | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Debra Sue Guzman | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Brendan Gordon Tennefoss | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Emily E Scotland | Nurse Practitioner | Waterfall Clinic Incorporated | 826 S 11th St, Coos Bay, OR 97420-1328 |
| Abby L Stauss | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Dianna L Loudenbeck | Chiropractic | Dianna Loudenbeck Dc PC | 576 Donnelly Ave, Coos Bay, OR 97420-1555 |
| Edward L Lanway | Chiropractic | 632 Anderson Ave, Coos Bay, OR 97420-1632 | |
| Patricia B Gates | Optometry | 986 Central Ave, Coos Bay, OR 97420-1736 | |
| Mirian W Groenendaal | Physical Therapy | Starting Line Physical Therapy | 1957 Thompson Rd, Suite A, Coos Bay, OR 97420-2040 |
| Find all physicians in zip 97420 | |||
| City | COOS BAY |
| Zip Code | 97420 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | COOS BAY + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Lauren 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.