DR. JACLYN MARIE SCHWARTZ (NPI# 1114264652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114264652 |
| Entity Type | Individual |
| Full Name | DR. JACLYN MARIE SCHWARTZ |
| Credential | D.P.M. |
| Practice Address |
2400 Mt. Zion Parkway Kaiser Permanente Southwood Comprehensive Medical Cente Jonesboro GA 30236 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 7706638011 |
| Practice Fax Number | 7707549820 |
| Mailing Telephone | 4045045678 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2017-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001186 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001186 | GA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598114597 | Jaclyn Schwartz | Dentist | 3773 W Ina Rd, #180, Tucson, AZ 85741-2246 | 2016-06-09 |
| 1477785871 | Jaclyn Schwartz | Marriage & Family Therapist | 1582 W San Marcos Blvd Ste 105, San Marcos, CA 92078 | 2009-08-18 |
| Street Address |
2400 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508866153 | Jodi Bayley Baptiste | Family Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2005-07-26 |
| 1013450816 | Dorothy Delisfort-crisostomo | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehension Medical Offic, Jonesboro, GA 30236 | 2016-11-28 |
| 1639590136 | Ashley Christine Ziobrowski | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2013-12-31 |
| 1730520321 | Nash Ditmetaroj | Optometrist | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2013-07-10 |
| 1770927402 | Labrittany R Davis-farve | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-04-24 |
| 1477896645 | Fofie S Akoto | Internal Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-04-05 |
| 1265773584 | Karen Kelly Willard | Nurse Practitioner | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2013-03-12 |
| 1801144605 | Dorie Angela Saxon | Pediatrics | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2012-08-28 |
| 1689937880 | Meena Yasmeen | Family Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 | 2012-06-21 |
| 1639431646 | Marisa Rhonda Howell | Internal Medicine | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Offic, Jonesboro, GA 30236 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861436875 | Michael Allen Haughey | Podiatrist | 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401 | 2006-06-16 |
| 1235131640 | Eddy Lloyd Caldwell | Podiatrist | 406 E Washington Ave, Jonesboro, AR 72401-3108 | 2005-08-15 |
| 1346246352 | Walter Wadsworth Hayes | Podiatrist | 1000 Windover, Suite A, Jonesboro, AR 72401 | 2005-06-23 |
| 1215931951 | Lee Paul Woodruff | Podiatrist | 1815 Executive Sq, Jonesboro, AR 72401-6086 | 2005-06-10 |
| 1255698627 | Vinay Kumar Matai | Podiatrist | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | 2012-04-23 |
| 1750550489 | Foot Care of Northeast Arkansas Pa | Podiatrist | 406 E Washington Ave, Jonesboro, AR 72401-3108 | 2008-02-27 |
| 1184756280 | Christopher Rowlett | Podiatrist | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2007-03-12 |
| 1376564971 | Mohsen Khoshneviszadeh | Podiatrist | 2400 Mount Zion Pkwy, Southwood Medical Center - Dept of Podiatry, Jonesboro, GA 30236-2500 | 2006-07-21 |
| 1013940394 | Walter W. Hayes, D.p.m., P.a. | Podiatrist | 1000 Windover, Suite A, Jonesboro, AR 72401 | 2006-07-09 |
| 1396742870 | Clayton Mobile Diagnostic Clinic | Podiatrist | 6911 Tara Blvd, Jonesboro, GA 30236-1503 | 2005-06-30 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.