Jan Kriska (NPI# 1104823327, PAC ID# 6002905486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104823327 |
| PAC ID by PECOS | 6002905486 |
| Professional Enrollment ID | I20091203000652 |
| Full Name | Jan Kriska |
| Organization Legal Name | BLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA |
| Address |
905 Rockford St Mount Airy NC 27030-5323 |
| Phone Number | 3367192440 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | SLEEP MEDICINE |
| Group Practice PAC ID | 7719875707 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340003 | NORTHERN HOSPITAL OF SURRY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 3365267997 | BLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA |
| 905 Rockford St, Mount Airy, NC 27030-5323 | 3367192440 | BLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 35% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 39% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 92% |
| Organization Legal Name | BLUE RIDGE CARDIOLOGY AND INTERNAL MEDICINE PA |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal S Easter | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 108 S State St, Yadkinville, NC 27055-8249 |
| Tamas Soos | Internal Medicine | Blue Ridge Cardiology and Internal Medicine Pa | 665 S Main St, Suite 13, Sparta, NC 28675-9618 |
| Samantha E Amos | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Tamara Louise Doran | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 108 S State St, Yadkinville, NC 27055-8249 |
| Vivian Seal | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Tomas Vybiral | Cardiovascular Disease (cardiology) | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Tabitha H Cousart | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 108 S State St, Yadkinville, NC 27055-8249 |
| Wendi Cheryl Helsabeck | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Christen H Duke | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Joy Maree Gaska | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 108 S State St, Yadkinville, NC 27055-8249 |
| Street Address |
905 ROCKFORD ST |
| City | MOUNT AIRY |
| State | NC |
| Zip | 27030-5323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha E Amos | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Vivian Seal | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Tomas Vybiral | Cardiovascular Disease (cardiology) | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Wendi Cheryl Helsabeck | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Christen H Duke | Nurse Practitioner | Blue Ridge Cardiology and Internal Medicine Pa | 905 Rockford St, Mount Airy, NC 27030-5323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Bowers | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mark A Dodd | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Alison L Shiminski | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Michelle Combs | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Emily S Epling | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Elizabeth A Casstevens | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Jamie S Raymond | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Linda M Gatchel | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Frantz E Pierre | Psychiatry | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Find all physicians in zip 27030 | |||
| City | MOUNT AIRY |
| Zip Code | 27030 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MOUNT AIRY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Jan Kriska.
| 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.