Shawn D Jackson (NPI# 1225391352, PAC ID# 7214159664) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225391352 |
| PAC ID by PECOS | 7214159664 |
| Professional Enrollment ID | I20141119001715 |
| Full Name | Shawn D Jackson |
| Organization Legal Name | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Address |
412 W Lehigh Ave Congreso Health Center Philadelphia PA 19133-3148 |
| Phone Number | 2159852595 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850307406 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1900 N 9th St, 104 Phmc Health Connection, Philadelphia, PA 19122-2028 | 2157656690 | PUBLIC HEALTH MANAGEMENT CORPORATION |
| 1900 N 9th St, Philadelphia, PA 19122-2028 | 2157656690 | PUBLIC HEALTH MANAGEMENT CORPORATION |
| 412 W Lehigh Ave, Congreso Health Center, Philadelphia, PA 19133-3148 | 2159852595 | PUBLIC HEALTH MANAGEMENT CORPORATION |
| 412 W Lehigh Ave, Philadelphia, PA 19133-3148 | 2159852595 | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Organization Legal Name | PUBLIC HEALTH MANAGEMENT CORPORATION |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elliot Goodenough | Family Medicine | Public Health Management Corporation | 71 W Wissachickon Ave, Phmc At Carson Valley, Flourtown, PA 19031 |
| Anamaria De Nardo | Nurse Practitioner | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Gerald J Durivage | Nurse Practitioner | Public Health Management Corporation | 125 S 9th St, Mary Howard Health Center, Philadelphia, PA 19107-5125 |
| Kathleen E Boczar | Nurse Practitioner | Public Health Management Corporation | 1900 N 9th St, 104 Phmc Health Connection, Philadelphia, PA 19122-2028 |
| Joan E Lajoie | Nurse Practitioner | Public Health Management Corporation | 5675 N Front St, Rising Sun Health Center, Philadelphia, PA 19120-2719 |
| Sumanya Narra | Physician Assistant | Public Health Management Corporation | 5675 N Front St, Rising Sun Health Center, Philadelphia, PA 19120-2719 |
| Kathleen Graham | Nurse Practitioner | Public Health Management Corporation | 5675 N Front St, Rising Sun Health Center, Philadelphia, PA 19120-2719 |
| Andrea Vettori | Nurse Practitioner | Public Health Management Corporation | 125 S 9th St, Mary Howard Health Center, Philadelphia, PA 19107-5125 |
| Katherine J Huynh | Physician Assistant | Public Health Management Corporation | 1200 Callowhill St, Suite 101, Philadelphia, PA 19123-3658 |
| Hernan Brizuela | Obstetrics/gynecology | Public Health Management Corporation | 125 S 9th St, Mary Howard Health Center, Philadelphia, PA 19107-5125 |
| Street Address |
412 W LEHIGH AVE CONGRESO HEALTH CENTER |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19133-3148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephania Dottin | Nurse Practitioner | Osh - Pa Physicians Group, PC | 1010 W Lehigh Ave, Philadelphia, PA 19133-1640 |
| Ghodrat Pirooz Sholevar | Psychiatry | 618 W Lehigh Ave, Philadelphia, PA 19133-2227 | |
| Christos Ballas | Psychiatry | Northeast Community Mental Health Center, Inc. | 2927 N 5th St, Philadelphia, PA 19133-2800 |
| Bryan R Hollinger | Internal Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Dominic Derenge | Family Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Elizabeth Talley | Family Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Kirstin L Sanborn | Family Medicine | Esperanza Health Center, Inc. | 2940 N 5th St, Philadelphia, PA 19133-2801 |
| Mohammad A Al-bataineh | Cardiovascular Disease (cardiology) | 2945 N 5th St, Philadelphia, PA 19133-2802 | |
| Priyankar Sarkar | Psychiatry | Co Mhar Inc | 2600 N American St, Philadelphia, PA 19133-3413 |
| Joel E Streim | Psychiatry | Co Mhar Inc | 2600 N American St, Philadelphia, PA 19133-3413 |
| Find all physicians in zip 19133 | |||
| City | PHILADELPHIA |
| Zip Code | 19133 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PHILADELPHIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shawn D Jackson.
| 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.