Jaculin A Kerouac (NPI# 1265837827, PAC ID# 8224353925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265837827 |
| PAC ID by PECOS | 8224353925 |
| Professional Enrollment ID | I20150220000087 |
| Full Name | Jaculin A Kerouac |
| Organization Legal Name | SCOTTSDALE HEALTHCARE CORP |
| Address |
3501 N Scottsdale Rd Suite 320 Scottsdale AZ 85251-5650 |
| Phone Number | 4808825740 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991603110 |
| Number of Group Practice Members | 200 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030087 | HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3501 N Scottsdale Rd, Suite 320, Scottsdale, AZ 85251-5650 | 4808825740 | SCOTTSDALE HEALTHCARE CORP |
| Organization Legal Name | SCOTTSDALE HEALTHCARE CORP |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna H Soweidan | Family Medicine | Scottsdale Healthcare Corp | 20745 N Scottsdale Rd, Scottsdale, AZ 85255-6453 |
| Alisha Lipsey | Nurse Practitioner | Scottsdale Healthcare Corp | 1626 S Priest Dr, Suite 104, Tempe, AZ 85281-6204 |
| Christa L O'mara | Nurse Practitioner | Scottsdale Healthcare Corp | 34525 N Scottsdale Rd, Scottsdale, AZ 85266-1201 |
| Mila Lopez | Undefined Physician Type (specify) | Scottsdale Healthcare Corp | 10419 E Mcdowell Mountain Ranch Rd, Suite A100, Scottsdale, AZ 85255-8697 |
| George P Roy | Family Medicine | Scottsdale Healthcare Corp | 1761 E Warner Rd, Suite 2, Tempe, AZ 85284-4560 |
| Bradley Rex Shumway | Family Practice | Scottsdale Healthcare Corp | 2530 E Southern Ave, Mesa, AZ 85204-5411 |
| Jacqueline L Stockton | Nurse Practitioner | Scottsdale Healthcare Corp | 10277 N 92nd St, Suite 101, Scottsdale, AZ 85258-4564 |
| Heidi E Symons | Nurse Practitioner | Scottsdale Healthcare Corp | 3311 N 44th St, Phoenix, AZ 85018-6461 |
| Paul E Larralde | Nurse Practitioner | Scottsdale Healthcare Corp | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 |
| Akshay V Shah | Gastroenterology | Scottsdale Healthcare Corp | 10510 N 92nd St, Suite 200, Scottsdale, AZ 85258-4566 |
| Street Address |
3501 N SCOTTSDALE RD SUITE 320 |
| City | SCOTTSDALE |
| State | AZ |
| Zip | 85251-5650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom A Wolvos | General Surgery | 3501 N Scottsdale Rd, Suite 234, Scottsdale, AZ 85251-5649 | |
| Jose G Machain Palacio | Internal Medicine | Scottsdale Healthcare Corp | 3501 N Scottsdale Rd, Suite 320, Scottsdale, AZ 85251-5650 |
| Rebecca B Ference | Qualified Audiologist | Valley Ent, PC | 3501 N Scottsdale Rd, Suite 160, Scottsdale, AZ 85251-5632 |
| Dustin M Heringer | Plastic and Reconstructive Surgery | 3501 N Scottsdale Rd, Suite 326, Scottsdale, AZ 85251-5650 | |
| Shaji Jaffrey Kazi | Gastroenterology | Arizona Gastrointestinal Associates Plc | 3501 N Scottsdale Rd, Suite 150, Scottsdale, AZ 85251-5632 |
| Steven Harris Eisenfeld | Pain Management | 3501 N Scottsdale Rd, Suite 221, Scottsdale, AZ 85251-5649 | |
| Erika S Boroff | Gastroenterology | Scottsdale Healthcare Corp | 3501 N Scottsdale Rd, Suite 320, Scottsdale, AZ 85251-5650 |
| Keith Zacher | General Surgery | 3501 N Scottsdale Rd, Suite 140, Scottsdale, AZ 85251-5649 | |
| Rahul S Athalye | Family Medicine | Scottsdale Family Health Pllc | 3501 N Scottsdale Rd, Suite 334, Scottsdale, AZ 85251-5650 |
| Katharine J Stark | Nurse Practitioner | Scottsdale Healthcare Corp | 3501 N Scottsdale Rd, Suite 320, Scottsdale, AZ 85251-5650 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Roumfort | Optometry | Dr. Simon Zmyslinski and Associates, P.l.l.c. | 7014 E Camelback Rd, Suite 2000, Scottsdale, AZ 85251-1239 |
| Natasha Bhuyan | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Anais M Sonder | Internal Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Carlton A Richie Iii | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Landon S Hoecker | Family Medicine | Omg Arizona, LLC | 7150 E Camelback Rd, Suite 105, Scottsdale, AZ 85251-1240 |
| Christopher James Smallwood | Nurse Practitioner | 7150 E Camelback Rd, Suite 444, Scottsdale, AZ 85251-1257 | |
| Nicholas Bhojwani | Diagnostic Radiology | Cleveland Clinic Health Services Professional Association Inc | 4848 N Goldwater Blvd, Unit 202, Scottsdale, AZ 85251-1433 |
| Sarette Zecharia | Clinical Psychologist | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
| Floyd E Trinidad | Family Practice | Vibrant Living Inc. | 7137 E Rancho Vista Dr, B67, Scottsdale, AZ 85251-1470 |
| Diana Sussman | Clinical Social Worker | 7626 E Northland Dr, Scottsdale, AZ 85251-1517 | |
| Find all physicians in zip 85251 | |||
| City | SCOTTSDALE |
| Zip Code | 85251 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SCOTTSDALE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jaculin A Kerouac.
| 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.