Shelley S Jaquish
SELECT PHYSICIANS ALLIANCE PL


Address: 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Phone: 8138798045

Shelley S Jaquish (NPI# 1558329300, PAC ID# 9931005956) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1558329300
PAC ID by PECOS 9931005956
Professional Enrollment ID I20031210000743
Full Name Shelley S Jaquish
Organization Legal Name SELECT PHYSICIANS ALLIANCE PL
Address 6827 1st Ave S
Suite 100
St Petersburg
FL 33707-1242
Phone Number 8138798045
Gender F
Credential MD
Medical School UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year 1995
Primary Specialty OTOLARYNGOLOGY
Group Practice PAC ID 9436323516
Number of Group Practice Members 70
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100126 PALMS OF PASADENA HOSPITAL
100067 ST ANTHONY'S HOSPITAL
100032 BAYFRONT HEALTH - ST PETERSBURG
100075 ST JOSEPHS HOSPITAL

Other Locations

Address Phone Organization
6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242 8138798045 SELECT PHYSICIANS ALLIANCE PL
900 Carillon Pkwy, Suite 300, St Petersburg, FL 33716-1118 8138798045 SELECT PHYSICIANS ALLIANCE PL

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 77%
ACI_EC_TRANS_EP_1 e-Prescribing 77%
ACI_EC_TRANS_MR_1 Medication Reconciliation 93%
ACI_EC_TRANS_MR_1 Medication Reconciliation 93%
ACI_EC_TRANS_PEA_1 Provide Patient Access 63%
ACI_EC_TRANS_PEA_1 Provide Patient Access 63%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 6%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 6%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 6%
ACI_EC_TRANS_PSE_1 Patient-Specific Education 6%
ACI_EC_TRANS_SM_1 Secure Messaging 4%
ACI_EC_TRANS_SM_1 Secure Messaging 4%
MIPS_EC_091_overall Acute Otitis Externa (AOE): Topical Therapy 25%
MIPS_EC_091_overall Acute Otitis Externa (AOE): Topical Therapy 25%
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use 92%
MIPS_EC_093_overall Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use 92%

Organization Information

Organization Legal Name SELECT PHYSICIANS ALLIANCE PL
Physicians 69

Physicians with the same organization

Name Specialty Organization Address
Karin Anne Frantz Physical Therapy Select Physicians Alliance Pl 13015 Summerfield Square Dr, Riverview, FL 33578-7402
Christopher Joseph Leto Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Danielle Marie Stephens Qualified Audiologist Select Physicians Alliance Pl 3006 W Azeele St, Tampa, FL 33609-3139
Kayla J Peace Qualified Audiologist Select Physicians Alliance Pl 1139 Nikki View Dr, Brandon, FL 33511-4879
Vjolka Zaka Qualified Audiologist Select Physicians Alliance Pl 5105 N Armenia Ave, Tampa, FL 33603-1405
Francis A Derito Otolaryngology Select Physicians Alliance Pl 511 W Alexander St, Suite 1, Plant City, FL 33563-7116
Kevin Joseph Donnelly Otolaryngology Select Physicians Alliance Pl 4714 N Armenia Ave, Suite 200, Tampa, FL 33603-2603
Barbara L Drobes Qualified Audiologist Select Physicians Alliance Pl 27406 Cashford Cir, Wesley Chapel, FL 33544-8199
Janet Lee Otolaryngology Select Physicians Alliance Pl 7433 Monika Manor Dr, Tampa, FL 33625-5814
Lisa Faith Gavin Qualified Audiologist Select Physicians Alliance Pl 5 Tampa General Cir, Suite 610, Tampa, FL 33606-3659

Office Location

Street Address 6827 1ST AVE S
SUITE 100
City ST PETERSBURG
State FL
Zip 33707-1242

Physicians in the same location

Name Specialty Organization Address
Christopher Joseph Leto Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Skye Dorsett Quamina Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Ricardo Requena Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Calli Keenan Fodor Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Helen L Techler Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Elisa M Lynskey Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Kelly E Murphy Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Jordan Lee Ericksen Qualified Audiologist Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242
Warren S Goldstein Otolaryngology Select Physicians Alliance Pl 6827 1st Ave S, Suite 100, St Petersburg, FL 33707-1242

Physicians in the same zip code

Name Specialty Organization Address
Scott E Kapulskey Geriatric Medicine 7035 1st S Ave, Saint Petersburg, FL 33707-1203
Mark A Nowacki Internal Medicine 7011 1st Ave S, St Petersburg, FL 33707-1203
Rebeca Fajardo Internal Medicine Webber Primecare Medical Center LLC 7035 1st S Ave, Saint Petersburg, FL 33707-1203
Jane E Kienle Geriatric Medicine Dean A Bramlet M D P A 7111 1st S Ave, Saint Petersburg, FL 33707-1223
Timothy M Dunlevy Otolaryngology Pasadena Ent Pa 6827 1st S Ave, Suite 100, Saint Petersburg, FL 33707-1242
David E Hall Ophthalmology Pasadena Eye Center, LLC 6950 Central Ave, Suite 120, St Petersburg, FL 33707-1245
Nathan R Emery Ophthalmology Pasadena Eye Center, LLC 6950 Central Ave, Suite 120, St Petersburg, FL 33707-1245
Fayssal El-jabali Ophthalmology Pasadena Eye Center, LLC 6950 Central Ave, Suite 120, St Petersburg, FL 33707-1245
Thomas E Hughes Chiropractic 214 Pasadena Ave S, Saint Petersburg, FL 33707-1251
Vijaya L Cherukuri Geriatric Medicine 218 Pasadena S Ave, Saint Petersburg, FL 33707-1251
Find all physicians in zip 33707

Competitor

Search similar physicians

City ST PETERSBURG
Zip Code 33707
Specialty OTOLARYNGOLOGY
City + Specialty ST PETERSBURG + OTOLARYNGOLOGY

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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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