Charles M Jackson (NPI# 1255659082, PAC ID# 8325355191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1255659082 |
| PAC ID by PECOS | 8325355191 |
| Professional Enrollment ID | I20150911001366 |
| Full Name | Charles M Jackson |
| Organization Legal Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Address |
3 E Appleby Rd Suite 201 Fayetteville AR 72703-3158 |
| Phone Number | 4794041100 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 2010 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 8820995434 |
| Number of Group Practice Members | 179 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| 040017 | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3 E Appleby Rd, Suite 201, Fayetteville, AR 72703-3158 | 4794041100 | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 82% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 94% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 61% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 10% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 50% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
| Organization Legal Name | WASHINGTON REGIONAL MEDICAL SYSTEM |
| Physicians | 195 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie A Bules | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 813 Founders Park Dr E, Suite 101, Springdale, AR 72762-6321 |
| Jennifer S Cheatham | Family Medicine | Washington Regional Medical System | 106 E Park St, West Washington County Clinic Washington Regional, Lincoln, AR 72744-8706 |
| Brittany L Huls | Nurse Practitioner | Washington Regional Medical System | 3215 N Northhills Blvd, Washington Regional Hospital Medicine Group, Fayetteville, AR 72703-4424 |
| Garney H Fendley | Diagnostic Radiology | Washington Regional Medical System | 3215 N Hills Blvd, Fayetteville, AR 72703-4424 |
| Fredrik Balldin | Diagnostic Radiology | Washington Regional Medical System | 3 E Appleby Rd, Suite 103, Fayetteville, AR 72703-3156 |
| Jay P Hinkle | Neurology | Washington Regional Medical System | 3336 N Futrall Dr, Nw Arkansas Neuroscience Institute, Fayetteville, AR 72703-4057 |
| William M Rogers | Family Medicine | Washington Regional Medical System | 513 N Shiloh St, Shiloh Clinic Washington Regional, Springdale, AR 72764-3343 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Rebecca Mcanulty | Nurse Practitioner | Washington Regional Medical System | 702 N Spring St, Harrison, AR 72602 |
| Kristen K Davidson | Nurse Practitioner | Washington Regional Medical System | 813 Founders Park Dr, Suite 202, Springdale, AR 72762-8334 |
| Street Address |
3 E APPLEBY RD SUITE 201 |
| City | FAYETTEVILLE |
| State | AR |
| Zip | 72703-3158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fredrik Balldin | Diagnostic Radiology | Washington Regional Medical System | 3 E Appleby Rd, Suite 103, Fayetteville, AR 72703-3156 |
| Jarret D Sanders | Diagnostic Radiology | Washington Regional Medical System | 3 E Appleby Rd, Suite 103, Fayetteville, AR 72703-3156 |
| Dalton L Gray Ii | Family Medicine | Washington Regional Medical System | 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3156 |
| Elizabeth A Young | Nurse Practitioner | Washington Regional Medical System | 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3156 |
| Jantzen Tyler Slater | Family Medicine | Washington Regional Medical System | 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3156 |
| Tasha A Kerr | Nurse Practitioner | Washington Regional Medical System | 3 E Appleby Rd, Suite 201, Fayetteville, AR 72703-3158 |
| Lindsey D Horton | Nurse Practitioner | Washington Regional Medical System | 3 E Appleby Rd, Suite 201, Fayetteville, AR 72703-3158 |
| Ralph C Panek | Diagnostic Radiology | Washington Regional Medical System | 3 E Appleby Rd, Suite 103, Fayetteville, AR 72703-3156 |
| David Grady Ratcliff | Internal Medicine | Washington Regional Medical System | 3 E Appleby Rd, Suite 301, Fayetteville, AR 72703-3160 |
| Barry K Wetsell | Diagnostic Radiology | Washington Regional Medical System | 3 E Appleby Rd, Suite 103, Fayetteville, AR 72703-3156 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda R Pauls | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 3383 N Mana Court, Fayetteville, AR 72703 |
| Kevin Hurlbut | Physical Medicine and Rehabilitation | 153 E Monte Painter, Fayetteville, AR 72703 | |
| Karen C Reynolds | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Kamra E Mays | Psychologist, Clinical | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Mary Frances Daut | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Ornette L Gaines | Family Medicine | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Regina E Thurman | Physical Medicine and Rehabilitation | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Amberlyn B Naples | Nurse Practitioner | Optimal Pain and Wellness | 1708 E Joyce, Fayetteville, AR 72703-0048 |
| Karen B Newton | Registered Dietitian Or Nutrition Professional | Washington Regional Medical System | 82 W Sunbridge Dr, Washington Regional Endocrinology, Fayetteville, AR 72703-1822 |
| Michael Saitta | Rheumatology | 6 W Sunbridge Dr, Fayetteville, AR 72703-1822 | |
| Find all physicians in zip 72703 | |||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
| Specialty | UROLOGY |
| City + Specialty | FAYETTEVILLE + UROLOGY |
Please comment or provide details below to improve the information on Charles M 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.