Jennifer D Mcclain (NPI# 1053413641, PAC ID# 8224922448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1053413641 |
| PAC ID by PECOS | 8224922448 |
| Professional Enrollment ID | I20060321000547 |
| Full Name | Jennifer D Mcclain |
| Organization Legal Name | TIDEWATER ANESTHESIA INC |
| Address |
1201 1st Colonial Rd Viginia Beach VA 23451 |
| Phone Number | 7579349334 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2002 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 2264485713 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490044 | SENTARA OBICI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 8047655000 | AMS VIRGINIA PLLC |
| 2800 Godwin Blvd, Suffolk, VA 23434-8038 | 7579344000 | SMG ANESTHESIA SPECIALISTS LLC |
| 1201 1st Colonial Rd, Viginia Beach, VA 23451 | 7579349334 | TIDEWATER ANESTHESIA INC |
| 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 | 7575071000 | SMG ANESTHESIA SPECIALISTS LLC |
| Organization Legal Name | TIDEWATER ANESTHESIA INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Marie Darling | Certified Registered Nurse Anesthetist (crna) | Tidewater Anesthesia Inc | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
| Caren M Cajares | Certified Registered Nurse Anesthetist (crna) | Tidewater Anesthesia Inc | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
| Marsha F Edwards | Certified Registered Nurse Anesthetist (crna) | Tidewater Anesthesia Inc | 2000 Meade Pkwy, Suffolk, VA 23434-4259 |
| Street Address |
1201 1ST COLONIAL RD |
| City | VIGINIA BEACH |
| State | VA |
| Zip | 23451 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Summer R Sayers | Optometry | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23454-2217 |
| Melissa K Le | Optometry | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23454-2217 |
| Vivek Kumar Jain | Ophthalmology | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23454-2217 |
| Steven R Wilkins | Optometry | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23454-2217 |
| George Peyton Neatrour | Ophthalmology | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23454-2217 |
| Edgar M Levine | Ophthalmology | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23454-2217 |
| Jeffrey Dunn | Optometry | Beach Eye Care Inc | 1201 1st Colonial Rd, Virginia Beach, VA 23542-2217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine J Salvador | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Issel Marie Mckenzie | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Christine M Ohlstein | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Lisa S Bell | Nurse Practitioner | Westminster-canterbury On Chesapeake Bay | 3100 Shore Dr, Virginia Beach, VA 23451-1199 |
| Robert Thoma | Chiropractic | 2244 Sunstates Ct, Suite 104, Virginia Beach, VA 23451-1552 | |
| Jacob T Mccrowell | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Stephen L Mckenzie | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Kiley J Fletcher | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Dana M Strozier | Physical Therapy | Direct Performance Physical Therapy, LLC | 2247 W Great Neck Rd, Suite 101, Virginia Beach, VA 23451-1556 |
| Karen W Bremenstul | Registered Dietitian Or Nutrition Professional | 2861 Lynnhaven Dr, Suite 110, Virginia Beach, VA 23451-1562 | |
| Find all physicians in zip 23451 | |||
| City | VIGINIA BEACH |
| Zip Code | 23451 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | VIGINIA BEACH + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.