Alfred B Jackson Iii (NPI# 1417078908, PAC ID# 8527196518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417078908 |
| PAC ID by PECOS | 8527196518 |
| Professional Enrollment ID | I20151112001779 |
| Full Name | Alfred B Jackson Iii |
| Organization Legal Name | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC |
| Address |
7601 Osler Dr Towson MD 21204-7700 |
| Phone Number | 4103374877 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4880846179 |
| Number of Group Practice Members | 132 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 421 S Union Ave, Suite 201, Havre De Grace, MD 21078-3346 | 4438436360 | UPPER CHESAPEAKE SURGICAL ASSOCIATES, LLC |
| 7601 Osler Dr, Towson, MD 21204-7700 | 4103374877 | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC |
| Organization Legal Name | UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC |
| Physicians | 142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arune Gulati | Hospitalist | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Anthony P Corcoran | Nurse Practitioner | University of Maryland St Joseph Medical Group LLC | 14 A Mount Carmel Rd, Parkton, MD 21120-9721 |
| Gigi Moore | Certified Nurse Midwife (cnm) | University of Maryland St Joseph Medical Group LLC | 7300 York Rd, Towson, MD 21204-7608 |
| Valerie Ironside | Nurse Practitioner | University of Maryland St Joseph Medical Group LLC | 7501 Osler Dr, Suite 102, Towson, MD 21204-7733 |
| Erika Marie Nigam | Physician Assistant | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Ronald Schechter | Cardiovascular Disease (cardiology) | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Pamela Y Lin | Family Medicine | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Neeta Deshpande | Hospitalist | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Timothy C Walters | Internal Medicine | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Michael Puchaev | Internal Medicine | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Street Address |
7601 OSLER DR |
| City | TOWSON |
| State | MD |
| Zip | 21204-7700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arune Gulati | Hospitalist | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Erika Marie Nigam | Physician Assistant | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Ronald Schechter | Cardiovascular Disease (cardiology) | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Pamela Y Lin | Family Medicine | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Neeta Deshpande | Hospitalist | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Timothy C Walters | Internal Medicine | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Michael Puchaev | Internal Medicine | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Mark Harry Fraiman | Vascular Surgery | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Gary M Vita | Anesthesiology | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Solomon A Feyissa | Hospitalist | University of Maryland St Joseph Medical Group LLC | 7601 Osler Dr, Towson, MD 21204-7700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharen M.b. Bisson | Psychiatry | Osler Medical Ctr, Suite 7600, Towson, MD 21204 | |
| Vinod Lakhanpal | Ophthalmology | Katzen Medical Associates PC | 901 Dulaney Valley Rd, Suite 200, Towson, MD 21204-0603 |
| Kristen Reese | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Suite 129, Towson, MD 21204-0614 |
| Brittney Elizabeth Ziskind | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Towson, MD 21204-0614 |
| Shawna Mowrer | Clinical Psychologist | Medop Behavioral Health Associates of Maryland PC | 901 Dulaney Valley Rd, Towson, MD 21204-0614 |
| Tracy O Cress | Certified Registered Nurse Anesthetist | Warren H Macleod C R N A Pa | 901 Dulaney Valley Rd, Suite 220, Towson, MD 21204-0621 |
| Emily M. Samuelson | Psychologist, Clinical | 28 Allegheny Ave, Suite 1305, Towson, MD 21204-1379 | |
| Charlotte E Coates Wilkes | Psychiatry | 8417 Bellona Ln, Suite 102, Towson, MD 21204-2014 | |
| Adolfo L Lopez | Internal Medicine | 8415 Bellona Ln, Suite 109, Towson, MD 21204-2015 | |
| Tanya J Quille | Psychologist, Clinical | 8422 Bellona Ln, Suite 207, Towson, MD 21204-2057 | |
| Find all physicians in zip 21204 | |||
| City | TOWSON |
| Zip Code | 21204 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TOWSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Alfred B Jackson Iii.
| 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.