Jackson Lee (NPI# 1689050684, PAC ID# 9931418407) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689050684 |
| PAC ID by PECOS | 9931418407 |
| Professional Enrollment ID | I20151023000348 |
| Full Name | Jackson Lee |
| Organization Legal Name | CHIROPORT |
| Address |
1440 Arcade St C Saint Paul MN 55106-1830 |
| Phone Number | 6519003562 |
| Gender | M |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2015 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8022327592 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1440 Arcade St C, Saint Paul, MN 55106-1830 | 6519003562 | CHIROPORT |
| Organization Legal Name | CHIROPORT |
| Physicians | 1 |
| Street Address |
1440 ARCADE ST C |
| City | SAINT PAUL |
| State | MN |
| Zip | 55106-1830 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paokou M Yang | Podiatry | 1504 N White Bear Ave, Suite A, Saint Paul, MN 55106-1623 | |
| Nancy G Hawkins | Psychologist, Clinical | 1012 Hyacinth Ave E, Saint Paul, MN 55106-2038 | |
| Charles C Rawlings | Chiropractic | 1497 White Bear Ave N, Saint Paul, MN 55106-2414 | |
| Christine Wysocki | Chiropractic | Chiro Health Clinic Pa | 1132 Arcade St, Saint Paul, MN 55106-2614 |
| Lillian Ngoc-mai Lee | Chiropractic | Chiro Health Clinic Pa | 1132 Arcade St, Saint Paul, MN 55106-2614 |
| Jer Lee | Chiropractic | Chiro Health Clinic Pa | 1132 Arcade St, Saint Paul, MN 55106-2614 |
| Yer G Vue | Optometry | 1165 Arcade St, Saint Paul, MN 55106-2615 | |
| John P Barsanti | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Tara L Kelly | Family Medicine | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Ellen C Ratts | Nurse Practitioner | Family Healthservices Minnesota, P.a. Dba Entira Family Clinics | 911 E Maryland Ave, Saint Paul, MN 55106-2647 |
| Find all physicians in zip 55106 | |||
| City | SAINT PAUL |
| Zip Code | 55106 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SAINT PAUL + CHIROPRACTIC |
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| 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.