Freeman Rtg Jackson (NPI# 1235112178, PAC ID# 6608859251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1235112178 |
| PAC ID by PECOS | 6608859251 |
| Professional Enrollment ID | I20040612000503 |
| Full Name | Freeman Rtg Jackson |
| Organization Legal Name | GREENSBORO RADIOLOGY PA |
| Address |
1331 N Elm St Greensboro NC 27401-6304 |
| Phone Number | 3362744285 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8729074901 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340070 | ALAMANCE REGIONAL MEDICAL CENTER |
| 340123 | RANDOLPH HOSPITAL |
| 340060 | MOREHEAD MEMORIAL HOSPITAL |
| 340091 | MOSES H CONE MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 1331 N Elm St, Greensboro, NC 27401-6304 | 3362744285 | GREENSBORO RADIOLOGY PA |
| 1331 N Elm St, Suite 200, Greensboro, NC 27401-6304 | 3362744285 | GREENSBORO RADIOLOGY PA |
| 315 W Wendover Ave, Greensboro, NC 27408-8401 | 3364335000 | DIAGNOSTIC RADIOLOGY AND IMAGING LLC |
| 905 Phillips Ave, High Point, NC 27262-7075 | 3368022040 | CORNERSTONE HEALTH CARE LLC |
| Organization Legal Name | GREENSBORO RADIOLOGY PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Chang | Diagnostic Radiology | Greensboro Radiology Pa | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Sanjeev K Deveshwar | Diagnostic Radiology | Greensboro Radiology Pa | 1200 N Elm St, Greensboro, NC 27401-1004 |
| William Ross Stevens | Diagnostic Radiology | Greensboro Radiology Pa | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Darrell K Allred | Physician Assistant | Greensboro Radiology Pa | 1240 Huffman Mill Rd, Burlington, NC 27215-8700 |
| Alexandra Marie Louk | Physician Assistant | Greensboro Radiology Pa | 601 N Elm St, High Point, NC 27262-4331 |
| Street Address |
1331 N ELM ST |
| City | GREENSBORO |
| State | NC |
| Zip | 27401-6304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olugbemiga E Jegede | Internal Medicine | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Emma M Collins | Physician Assistant | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Adam Scott Curatolo | Emergency Medicine | Wake Forest University Health Sciences | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Murali Ramaswamy | Pulmonary Disease | Moses Cone Medical Services Inc | 1200 N Elm St, Suite 5, Greensboro, NC 27401-1004 |
| Robyn R Browder | Certified Registered Nurse Anesthetist (crna) | The Moses H Cone Memorial Hospital Operating Corporation | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Anupama Matcha | Internal Medicine | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Amy D Clegg | Nurse Practitioner | The Moses H Cone Memorial Hospital Operating Corporation | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Bryan K Bartle | Cardiac Surgery | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| James M Owens | Physician Assistant | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Andrew E Kirsteins | Physical Medicine and Rehabilitation | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Find all physicians in zip 27401 | |||
| City | GREENSBORO |
| Zip Code | 27401 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GREENSBORO + DIAGNOSTIC RADIOLOGY |
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| 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.