Jacqueline Beauregard
CARDIOLOGY ASSOC OF PORT HURON


Address: 1222 10th Ave, Port Huron, MI 48060-3406
Phone: 8109859681

Jacqueline Beauregard (NPI# 1962069997, PAC ID# 6507199858) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1962069997
PAC ID by PECOS 6507199858
Professional Enrollment ID I20190531001777
Full Name Jacqueline Beauregard
Organization Legal Name CARDIOLOGY ASSOC OF PORT HURON
Address 1222 10th Ave
Port Huron
MI 48060-3406
Phone Number 8109859681
Gender F
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2019
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1658348776
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230216 MCLAREN PORT HURON
230031 LAKE HURON MEDICAL CENTER
231314 MCKENZIE HEALTH SYSTEM

Other Locations

Address Phone Organization
1222 10th Ave, Port Huron, MI 48060-3406 8109859681 CARDIOLOGY ASSOC OF PORT HURON

Organization Information

Organization Legal Name CARDIOLOGY ASSOC OF PORT HURON
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Elias Skaf Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Crystal Kay Pennell Nurse Practitioner Cardiology Assoc of Port Huron 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884
Caitlin Smith Nurse Practitioner Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Ajay C Krishen Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Bashar Samman Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Suresh R Tumma Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Tamara Dawn Yoas Nurse Practitioner Cardiology Assoc of Port Huron 4190 24th Ave, Suite 203, Fort Gratiot, MI 48059-3884
Sivaji Gundlapalli Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Beeravolu R Reddy Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Vrajmohan C Parikh Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406

Office Location

Street Address 1222 10TH AVE
City PORT HURON
State MI
Zip 48060-3406

Physicians in the same location

Name Specialty Organization Address
Elias Skaf Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Caitlin Smith Nurse Practitioner Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Ajay C Krishen Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Bashar Samman Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Suresh R Tumma Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Sivaji Gundlapalli Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Beeravolu R Reddy Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Vrajmohan C Parikh Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406
Madhusudhan C Reddy Cardiovascular Disease (cardiology) Cardiology Assoc of Port Huron 1222 10th Ave, Port Huron, MI 48060-3406

Physicians in the same zip code

Name Specialty Organization Address
Annette M Mercatante Family Medicine 2215 Court, Port Huron, MI 48060
Fahim Kamal Ibrahim Ophthalmology 2025 Holland Ave, Port Huron, MI 48060-1519
George J Carley Jr. Family Medicine George J Carley Do PC 1943 Holland Ave, Port Huron, MI 48060-1519
Reid S Stromberg Family Medicine George J Carley Do PC 1943 Holland Ave, Port Huron, MI 48060-1519
Kamal Fahim Ophthalmology 2025 Holland Ave, Port Huron, MI 48060-1519
Mark G Kanitz Emergency Medicine Medexpress Urgent Care PC - Michigan 3550 Pine Grove Ave, Port Huron, MI 48060-1944
Dana L Wolfe Nurse Practitioner Medexpress Urgent Care PC - Michigan 3550 Pine Grove Ave, Port Huron, MI 48060-1944
Jay S Guikema Nurse Practitioner Medexpress Urgent Care PC - Michigan 3550 Pine Grove Ave, Port Huron, MI 48060-1944
Dena R Nader Family Medicine Medexpress Urgent Care PC - Michigan 3550 Pine Grove Ave, Port Huron, MI 48060-1944
Shanae D Bartlett Nurse Practitioner Medexpress Urgent Care PC - Michigan 3550 Pine Grove Ave, Port Huron, MI 48060-1944
Find all physicians in zip 48060

Competitor

Search similar physicians

City PORT HURON
Zip Code 48060
Specialty PHYSICIAN ASSISTANT
City + Specialty PORT HURON + PHYSICIAN ASSISTANT

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Dataset Information

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.

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