Jacqueline M Tulodzieski (NPI# 1295021822, PAC ID# 7719101567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1295021822 |
| PAC ID by PECOS | 7719101567 |
| Professional Enrollment ID | I20140617001556 |
| Full Name | Jacqueline M Tulodzieski |
| Organization Legal Name | PODIATRY INC |
| Address |
116 E Ave Tallmadge OH 44278-2300 |
| Phone Number | 2162451290 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 6507936671 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360144 | SOUTH POINTE HOSPITAL |
| 360230 | HILLCREST HOSPITAL |
| 360180 | CLEVELAND CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 116 E Ave, Tallmadge, OH 44278-2300 | 2162451290 | PODIATRY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 86% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 49% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PODIATRY INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Kelty | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Joseph Angelo Favazzo | Podiatry | Podiatry Inc | 8382 Mentor Ave, Mentor, OH 44060-5748 |
| Christopher Andrew Tulodzieski | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Andrew J Diller | Podiatry | Podiatry Inc | 9630 Ravenna Rd, Suite 300, Twinsburg, OH 44087-6812 |
| Michael W Forman | Podiatry | Podiatry Inc | 3733 Park E Dr, Suite 240, Beachwood, OH 44122-4337 |
| Edward J Floyd | Podiatry | Podiatry Inc | 3733 Park E Dr, Beachwood, OH 44122-4337 |
| Street Address |
116 E AVE |
| City | TALLMADGE |
| State | OH |
| Zip | 44278-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Sparrow | Podiatry | 116 E Ave, Suite 4, Tallmadge, OH 44278 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Dawson | Optometry | Tallmadge Family Eye Care LLC | 137 E Ave, Suite 100, Tallmadge, OH 44278 |
| Michelle E Dawson | Optometry | Tallmadge Family Eye Care LLC | 137 E Ave, Suite 100, Tallmadge, OH 44278 |
| Nicolle Marie Swiatkowski | Certified Registered Nurse Anesthetist (crna) | Lababidi Enterprises Inc | 518 W Ave, Cosmetic Surgical Arts, Tallmadge, OH 44278 |
| Lawrence J Roth | Optometry | 384 Northeast Ave, Tallmadge, OH 44278-1443 | |
| Jaclyn Flickinger | Obstetrics/gynecology | Womens Health Group Inc. | 121 Northwest Ave, Tallmadge, OH 44278-1809 |
| James John Graham | Obstetrics/gynecology | Womens Health Group Inc. | 121 Northwest Ave, Tallmadge, OH 44278-1809 |
| Nisrine Zahir | Obstetrics/gynecology | Womens Health Group Inc. | 121 Northwest Ave, Tallmadge, OH 44278-1809 |
| Steven M Gorsuch | Obstetrics/gynecology | Womens Health Group Inc. | 121 Northwest Ave, Tallmadge, OH 44278-1809 |
| Ahmad K Jadallah | Obstetrics/gynecology | Womens Health Group Inc. | 121 Northwest Ave, Tallmadge, OH 44278-1809 |
| John N Hutzler Jr. | Obstetrics/gynecology | Womens Health Group Inc. | 121 Northwest Ave, Tallmadge, OH 44278-1809 |
| Find all physicians in zip 44278 | |||
| City | TALLMADGE |
| Zip Code | 44278 |
| Specialty | PODIATRY |
| City + Specialty | TALLMADGE + PODIATRY |
Please comment or provide details below to improve the information on Jacqueline M Tulodzieski.
| 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.