Jonathan W Jackson (NPI# 1629273735, PAC ID# 6901997329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1629273735 |
| PAC ID by PECOS | 6901997329 |
| Professional Enrollment ID | I20090808000070 |
| Full Name | Jonathan W Jackson |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL, INC |
| Address |
500 Lauchwood Dr Laurinburg NC 28352-5501 |
| Phone Number | 9102917000 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0648208504 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| 340126 | WILSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2528474100 | EAST CAROLINA ANESTHESIA ASSOCIATES PLLC |
| 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 9102917000 | SCOTLAND MEMORIAL HOSPITAL, INC |
| 155 Memorial Dr, Pinehurst, NC 28374-8710 | 9102151000 | FIRSTHEALTH OF THE CAROLINAS, INC |
| 925 S Long Dr, Rockingham, NC 28379-4835 | 9104173706 | FIRSTHEALTH OF THE CAROLINAS, INC |
| Organization Legal Name | SCOTLAND MEMORIAL HOSPITAL, INC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terri Reno Weber | Physician Assistant | Scotland Memorial Hospital, Inc | 24420 Marlboro St, Wagram, NC 28396-9600 |
| Olufunsho D Adamolekun | Vascular Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Kimberly Mcgee Morgan | Nurse Practitioner | Scotland Memorial Hospital, Inc | 105 Mcalpine Ln, Laurinburg, NC 28352-4637 |
| Bernard Marion Stanfield | Urology | Scotland Memorial Hospital, Inc | 521 Lauchwood Dr, Laurinburg, NC 28352-5502 |
| Gyetri S Mitchell | Nurse Practitioner | Scotland Memorial Hospital, Inc | 1007 Cheraw St, Bennettsville, SC 29512-2422 |
| Chi Dai Chen | General Surgery | Scotland Memorial Hospital, Inc | 957 Cheraw St, Bennettsville, SC 29512-2420 |
| Husam Hussain Darwish | Orthopedic Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Stephen M. Bush | Physician Assistant | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Clinton K Atkinson | Vascular Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Laura B Lynch | Qualified Audiologist | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Street Address |
500 LAUCHWOOD DR |
| City | LAURINBURG |
| State | NC |
| Zip | 28352-5501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olufunsho D Adamolekun | Vascular Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Jeffrey A Moore | Hospitalist | Scotland Regional Health Network | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Husam Hussain Darwish | Orthopedic Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Stephen M. Bush | Physician Assistant | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Elizabeth A Berry | Nurse Practitioner | Scotland Regional Health Network | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Gordon R Mcdevitt Jr. | Diagnostic Radiology | Charlotte Radiology Pa | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Clinton K Atkinson | Vascular Surgery | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Laura B Lynch | Qualified Audiologist | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Emily Crabtree Purcell | Certified Registered Nurse Anesthetist (crna) | Scotland Memorial Hospital, Inc | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Hector Ivan Sanchez | Hospitalist | Scotland Regional Health Network | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisia Enriquez | Nurse Practitioner | Scotland Medical Center P.a. | 422 King St, Laurinburg, NC 28352 |
| Elizabeth B Kleinfelder | Nurse Practitioner | Fastmed Urgent Care PC | 907 Us Hwy 401 S, Laurinburg, NC 28352-1008 |
| Phyllis P Parrish | Clinical Social Worker | 416 Fairley St, Unit E, Laurinburg, NC 28352-3612 | |
| William R Armstrong Jr. | Chiropractic | 517 Atkinson St, Laurinburg, NC 28352-3715 | |
| Robert L Smith | Clinical Social Worker | 524 Atkinson St, Laurinburg, NC 28352-3716 | |
| Lindsay Brock Haywood | Clinical Social Worker | 118 C James St, Laurinburg, NC 28352-3824 | |
| Frederick H Stephens | Clinical Social Worker | 118 C James St, Laurinburg, NC 28352-3824 | |
| Kimberly Mcgee Morgan | Nurse Practitioner | Scotland Memorial Hospital, Inc | 105 Mcalpine Ln, Laurinburg, NC 28352-4637 |
| Gary Lee Aldrich Jr. | Physician Assistant | Carolina Skin Care, Pa | 103 Mcalpine Ln A, Laurinburg, NC 28352-4637 |
| Brittany Meagan Lowery | Certified Nurse Midwife (cnm) | Scotland Memorial Hospital, Inc | 105 Mcalpine Ln, Laurinburg, NC 28352-4637 |
| Find all physicians in zip 28352 | |||
| City | LAURINBURG |
| Zip Code | 28352 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAURINBURG + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.