Heather Marie Jackson (NPI# 1629220017, PAC ID# 7113086851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY ASSISTANT.
| Nation Provider ID (NPI) | 1629220017 |
| PAC ID by PECOS | 7113086851 |
| Professional Enrollment ID | I20161115000783 |
| Full Name | Heather Marie Jackson |
| Organization Legal Name | FAYETTEVILLE ANESTHESIA, PA |
| Address |
1781 Metromedical Dr Fayetteville NC 28304-3862 |
| Phone Number | 8664703510 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | ANESTHESIOLOGY ASSISTANT |
| Group Practice PAC ID | 0941281158 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1781 Metromedical Dr, Fayetteville, NC 28304-3862 | 8664703510 | FAYETTEVILLE ANESTHESIA, PA |
| Organization Legal Name | FAYETTEVILLE ANESTHESIA, PA |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Rebecca Hanlon | Certified Registered Nurse Anesthetist (crna) | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Everett L Perry | Anesthesiology | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Emi Denise Taylor Hewitt | Anesthesiology Assistant | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Dipali S Mehta | Anesthesiology Assistant | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Tara B Roberts | Certified Registered Nurse Anesthetist (crna) | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Michael A Caine | Certified Registered Nurse Anesthetist (crna) | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Street Address |
1781 METROMEDICAL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-3862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Rebecca Hanlon | Certified Registered Nurse Anesthetist (crna) | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Everett L Perry | Anesthesiology | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Emi Denise Taylor Hewitt | Anesthesiology Assistant | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Dipali S Mehta | Anesthesiology Assistant | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Tara B Roberts | Certified Registered Nurse Anesthetist (crna) | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Michael A Caine | Certified Registered Nurse Anesthetist (crna) | Fayetteville Anesthesia, Pa | 1781 Metromedical Dr, Fayetteville, NC 28304-3862 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | ANESTHESIOLOGY ASSISTANT |
| City + Specialty | FAYETTEVILLE + ANESTHESIOLOGY ASSISTANT |
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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.