Leslie W Jackson (NPI# 1972690774, PAC ID# 0042407108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972690774 |
| PAC ID by PECOS | 0042407108 |
| Professional Enrollment ID | I20121211000137 |
| Full Name | Leslie W Jackson |
| Organization Legal Name | SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC. |
| Address |
3325 Pocahontas Rd Baker City OR 97814-1464 |
| Phone Number | 5415242965 |
| Gender | F |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | RHEUMATOLOGY |
| Group Practice PAC ID | 4981732518 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381315 | ST. ALPHONSUS MEDICAL CENTER - BAKER CITY |
| 381321 | GRANDE RONDE HOSPITAL |
| 381306 | WALLOWA MEMORIAL HOSPITAL |
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3325 Pocahontas Rd, Baker City, OR 97814-1464 | 5415242965 | SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC. |
| Organization Legal Name | SAINT ALPHONSUS MEDICAL CENTER BAKER CITY, INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan L Braun | Physician Assistant | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Christopher J Liby | General Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Jesse Jarnes | Certified Registered Nurse Anesthetist (crna) | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Jon T Weakley | Certified Registered Nurse Anesthetist (crna) | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Eric T Sandefur | Orthopedic Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Derek G Zickgraf | Family Medicine | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Logan C Frederickson | Family Medicine | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Eric J Johnson | General Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| William Z Allen | Physician Assistant | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Veronica Crowder | Physician Assistant | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Street Address |
3325 POCAHONTAS RD |
| City | BAKER CITY |
| State | OR |
| Zip | 97814-1464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan L Braun | Physician Assistant | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Christopher J Liby | General Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Matthew D Pond | Diagnostic Radiology | Intermountain Medical Imaging LLC | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Jesse Jarnes | Certified Registered Nurse Anesthetist (crna) | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Jon T Weakley | Certified Registered Nurse Anesthetist (crna) | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Cyle S Goodman | Diagnostic Radiology | Gem State Radiology LLP | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Janet M Cegnar | Diagnostic Radiology | Gem State Radiology LLP | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Eric T Sandefur | Orthopedic Surgery | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| John H Phillips | Internal Medicine | 3325 Pocahontas Rd, Baker City, OR 97814-1464 | |
| Derek G Zickgraf | Family Medicine | Saint Alphonsus Medical Center Baker City, Inc. | 3325 Pocahontas Rd, Baker City, OR 97814-1464 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa D Akin | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Lauren K Zink | Registered Dietitian Or Nutrition Professional | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Laura M Van Duker | Physician Assistant | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Dean N Defrees | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Marshall Hiller | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Jodi K Flanagan | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Roman J Babij | General Surgery | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Korey V Ham | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 3950 17th St, Baker City, OR 97814-1300 |
| Blake Michael Marlia | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Kristina Stevens Fleming | Physical Therapy | Robert J Bachman Pt PC Baker Valley Physical Therapy | 3950 17th St, Suite B, Baker City, OR 97814-1300 |
| Find all physicians in zip 97814 | |||
| City | BAKER CITY |
| Zip Code | 97814 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BAKER CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Leslie W 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.