Alfred B Jackson Iii
UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC


Address: 7601 Osler Dr, Towson, MD 21204-7700
Phone: 4103374877

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.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210049 UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER

Other Locations

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 Information

Organization Legal Name UNIVERSITY OF MARYLAND ST JOSEPH MEDICAL GROUP LLC
Physicians 142

Physicians with the same organization

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

Office Location

Street Address 7601 OSLER DR
City TOWSON
State MD
Zip 21204-7700

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City TOWSON
Zip Code 21204
Specialty PHYSICIAN ASSISTANT
City + Specialty TOWSON + PHYSICIAN ASSISTANT

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Dataset Information

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.

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