Lisa Welch Jenkins (NPI# 1538463666, PAC ID# 7214119346) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1538463666 |
PAC ID by PECOS | 7214119346 |
Professional Enrollment ID | I20130104000298 |
Full Name | Lisa Welch Jenkins |
Organization Legal Name | BRADDOCK MEDICAL GROUP PA |
Address |
912 Seton Dr Cumberland MD 21502-1818 |
Phone Number | 3017223111 |
Gender | F |
Graduation Year | 2010 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2163419268 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
210027 | WESTERN MARYLAND REGIONAL MEDICAL CENTER |
511315 | POTOMAC VALLEY HOSPITAL |
Address | Phone | Organization |
---|---|---|
912 Seton Dr, Cumberland, MD 21502-1818 | 3017223111 | BRADDOCK MEDICAL GROUP PA |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | BRADDOCK MEDICAL GROUP PA |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Taylor Livengood | Family Medicine | Braddock Medical Group Pa | 912 Seton Dr, Cumberland, MD 21502-1818 |
Ashley Golden | Nurse Practitioner | Braddock Medical Group Pa | 912 Seton Dr, Cumberland, MD 21502-1818 |
Thomas Evan Chappell | Internal Medicine | Braddock Medical Group Pa | 912 Seton Dr, Cumberland, MD 21502-1818 |
Street Address |
912 SETON DR |
City | CUMBERLAND |
State | MD |
Zip | 21502-1818 |
Name | Specialty | Organization | Address |
---|---|---|---|
Paul Taylor Livengood | Family Medicine | Braddock Medical Group Pa | 912 Seton Dr, Cumberland, MD 21502-1818 |
Ashley Golden | Nurse Practitioner | Braddock Medical Group Pa | 912 Seton Dr, Cumberland, MD 21502-1818 |
Thomas Evan Chappell | Internal Medicine | Braddock Medical Group Pa | 912 Seton Dr, Cumberland, MD 21502-1818 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mary Ann Riley | Internal Medicine | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
Leah R Kozlowski | Physician Assistant | Western Maryland Health System Corporation | 16 Gulf Memorial Dr, Union Rescue Mission, Cumberland, MD 21502 |
David K Moose | Maxillofacial Surgery | Cumberland Oral and Maxillofacial Surgery Associates LLP | 1715 Frederick St, Cumberland, MD 21502-1037 |
Suketu I Patel | Maxillofacial Surgery | Cumberland Oral and Maxillofacial Surgery Associates LLP | 1715 Frederick St, Cumberland, MD 21502-1037 |
Kenrick Hamilton Roberts | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
Daniel Brian Herring | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
Sean Leo Mccagh | Dermatology | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
Savannah Brown | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
Kaleigh Hahn | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
Natashia M Vanslyke | Physician Assistant | Mccagh and Roberts Mds Pa | 100 Welton Dr, Cumberland, MD 21502-1336 |
Find all physicians in zip 21502 |
City | CUMBERLAND |
Zip Code | 21502 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CUMBERLAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lisa Welch Jenkins.
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.