Jacklyn Pearson Wurthmann (NPI# 1679057541, PAC ID# 7315281540) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1679057541 |
| PAC ID by PECOS | 7315281540 |
| Professional Enrollment ID | I20181129000762 |
| Full Name | Jacklyn Pearson Wurthmann |
| Organization Legal Name | EAST COOPER PHYSICIAN NETWORK, LLC |
| Address |
3400 Salterbeck St Mount Pleasant SC 29466-7118 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587920145 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420089 | EAST COOPER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3400 Salterbeck St, Mount Pleasant, SC 29466-7118 | EAST COOPER PHYSICIAN NETWORK, LLC | |
| 306 Station 22, Sullivans Island, SC 29482-9756 | 8438833176 | EAST COOPER PHYSICIAN NETWORK, LLC |
| Organization Legal Name | EAST COOPER PHYSICIAN NETWORK, LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan George Knoche | Colorectal Surgery (proctology) | East Cooper Physician Network, LLC | 903 N Fraser St, Suite B, Georgetown, SC 29440-2879 |
| Margaret Jean Boyer | Registered Dietitian Or Nutrition Professional | East Cooper Physician Network, LLC | 1280 Hospital Dr, Unit 302, Mount Pleasant, SC 29464-1901 |
| John A Knepper | Family Medicine | East Cooper Physician Network, LLC | 874 Whipple Rd, Suite 100, Mount Pleasant, SC 29464-8900 |
| Maggie W Evans | Obstetrics/gynecology | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 201, Mount Pleasant, SC 29464-3793 |
| Kay H Durst | Family Medicine | East Cooper Physician Network, LLC | 306 Station 22, Sullivans Island, SC 29482-9756 |
| Bridget T Williamson | Obstetrics/gynecology | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 200, Mount Pleasant, SC 29464-3793 |
| William J Estes | Orthopedic Surgery | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 101, Mount Pleasant, SC 29464-3793 |
| Sarah Branyon Voges | Nurse Practitioner | East Cooper Physician Network, LLC | 2000 Hospital Dr, Mount Pleasant, SC 29464-3764 |
| George Durst Jr. | Family Medicine | East Cooper Physician Network, LLC | 306 Station 22, Sullivans Island, SC 29482-9756 |
| Jason D Stroud | Family Medicine | East Cooper Physician Network, LLC | 851 Leonard Fulghum Dr, Suite 100, Mount Pleasant, SC 29464-3793 |
| Street Address |
3400 SALTERBECK ST |
| City | MOUNT PLEASANT |
| State | SC |
| Zip | 29466-7118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rick Anthony Digregorio | Chiropractic | 3400 Salterbeck St, Suite 102, Mount Pleasant, SC 29466-7118 | |
| Colleen Manning | Physician Assistant | East Cooper Physician Network, LLC | 3400 Salterbeck St, Mount Pleasant, SC 29466-7118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry Looman | Physician Assistant | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Anoma S Gamage | Family Medicine | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Lauren Dubose Neese | Nurse Practitioner | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Jessica Leigh Watson | Physician Assistant | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Lee C Ross | Nurse Practitioner | Sea Island Medical Care | 2114 Hwy 41, Suite 105, Mt Pleasant, SC 29466 |
| Nathan L Karpinsky | Chiropractic | Elite Health Solutions LLC | 2191n Hwy 17 A, Mount Pleasant, SC 29466-6805 |
| Paul A Kukes | Chiropractic | Elite Health Solutions LLC | 2191n Hwy 17 A, Mount Pleasant, SC 29466-6805 |
| Lucas J Cole | Chiropractic | 3404 Salterbeck St, Suite 201, Mt Pleasant, SC 29466-7119 | |
| Judith E Rubano | Internal Medicine | Carolina Family Care Inc | 1113 Park W Blvd, Mount Pleasant, SC 29466-7121 |
| Anup Bhushan | Internal Medicine | Carolina Family Care Inc | 1113 Park W Blvd, Mount Pleasant, SC 29466-7121 |
| Find all physicians in zip 29466 | |||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MOUNT PLEASANT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jacklyn Pearson Wurthmann.
| 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.