Laurie J Jackson (NPI# 1124003363, PAC ID# 9638192388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1124003363 |
| PAC ID by PECOS | 9638192388 |
| Professional Enrollment ID | I20060109000365 |
| Full Name | Laurie J Jackson |
| Organization Legal Name | CONROE AMBULATORY ANESTHESIA PA |
| Address |
4019 I 45 N 150 North Pines Surgery Center Conroe TX 77304-4901 |
| Phone Number | 9366418181 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1979 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0749464469 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450638 | HOUSTON NORTHWEST MEDICAL CENTER |
| 450774 | TOPS SURGICAL SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4019 I 45 N, 150 North Pines Surgery Center, Conroe, TX 77304-4901 | 9366418181 | CONROE AMBULATORY ANESTHESIA PA |
| 1500 Citywest Blvd, Suite 300, Houston, TX 77042-2549 | 7136204000 | U S ANESTHESIA PARTNERS OF TEXAS, PA |
| 7010 Champions Plaza Dr, Suite 300, Houston, TX 77069-2394 | 8326985320 | BAYOU ANESTHESIA AND PAIN PA |
| 710 Cypress Creek Pkwy, Houston, TX 77090-3402 | 2814401000 | U S ANESTHESIA PARTNERS OF TEXAS, PA |
| Organization Legal Name | CONROE AMBULATORY ANESTHESIA PA |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Mccarthy | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 133 Medical Park Ln, Suite B, Huntsville, TX 77340-4979 |
| Michael Sprintz | Anesthesiology | Conroe Ambulatory Anesthesia Pa | 111 Vision Park Blvd, Suite 100, Shenandoah, TX 77384-3003 |
| Stephen M Sims | Pain Management | Conroe Ambulatory Anesthesia Pa | 133 Medical Park Ln, Suite B, Huntsville, TX 77340-4979 |
| Nicholas Sorrell | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 1020 Riverwood Ct, Suite 200, Conroe, TX 77304-2974 |
| Benjamin Paul Landry | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 1020 Riverwood Ct, Suite 200, Conroe, TX 77304-2974 |
| Barry E Eaton | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 133 Medical Park Ln, Suite B, Huntsville, TX 77340-4979 |
| Carla E Jordan-martin | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 1020 Riverwood Ct, Suite 200, Conroe, TX 77304-2974 |
| Eugenio L Acosta | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 4019 I 45 N, 150 North Pines Surgery Center, Conroe, TX 77304-4901 |
| Robert T Hart | Anesthesiology | Conroe Ambulatory Anesthesia Pa | 1020 Riverwood Ct, Suite 200, Conroe, TX 77304-2974 |
| Kelley R Lind | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 4019 I 45 N, 150 North Pines Surgery Center, Conroe, TX 77304-4901 |
| Street Address |
4019 I 45 N 150 NORTH PINES SURGERY CENTER |
| City | CONROE |
| State | TX |
| Zip | 77304-4901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugenio L Acosta | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 4019 I 45 N, 150 North Pines Surgery Center, Conroe, TX 77304-4901 |
| Kelley R Lind | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 4019 I 45 N, 150 North Pines Surgery Center, Conroe, TX 77304-4901 |
| Akilah Boyd | Certified Registered Nurse Anesthetist (crna) | Conroe Ambulatory Anesthesia Pa | 4019 I 45 N, 150 North Pines Surgery Center, Conroe, TX 77304-4901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Stephen Ellis | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Alexander B Klein | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jerome C Young | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jeffrey A Przybyla | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Kelly K Gilmore-lynch | Colorectal Surgery (proctology) | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jessica L Cooper | Clinical Social Worker | Vericare PC | 99 Rigby Owen Rd, Conroe, TX 77304-1765 |
| Kenneth M Perkins | Chiropractic | 3504 W Davis, Conroe, TX 77304-1832 | |
| Harry K Eulitt | Chiropractic | 3401 W Davis, Conroe, TX 77304-1860 | |
| Michele Times | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1701 Westview Blvd, Strake Place, Conroe, TX 77304-1911 |
| Jennifer L Boyd | Nurse Practitioner | Tri-county Behavioral Healthcare | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 |
| Find all physicians in zip 77304 | |||
| City | CONROE |
| Zip Code | 77304 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CONROE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Laurie J 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.