Jacob Ryan Walsh (NPI# 1518281781, PAC ID# 0941427611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1518281781 |
| PAC ID by PECOS | 0941427611 |
| Professional Enrollment ID | I20150522001351 |
| Full Name | Jacob Ryan Walsh |
| Organization Legal Name | ARIZONA STATE RADIOLOGY PC |
| Address |
1601 W Saint Marys Rd Tucson AZ 85745-2623 |
| Phone Number | 6028642130 |
| Gender | M |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1759372972 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030043 | CANYON VISTA MEDICAL CENTER |
| 030010 | ST. MARY'S HOSPITAL |
| 030068 | MT. GRAHAM REGIONAL MEDICAL CENTER |
| 030137 | GREEN VALLEY HOSPITAL |
| 031313 | HOLY CROSS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4455 S I 19 Frontage Rd, Green Valley, AZ 85614-5884 | 5203934700 | SANTA CRUZ RADIOLOGY, LLC |
| 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 5202872771 | SANTA CRUZ RADIOLOGY, LLC |
| 1600 S 20 Ave, Safford, AZ 85546-4011 | 5203484258 | SANTA CRUZ RADIOLOGY, LLC |
| 151 Colonia De Salud, Sierra Vista, AZ 85635-8223 | 5202633900 | SANTA CRUZ RADIOLOGY, LLC |
| 155 Calle Portal, Suite 500, Sierra Vista, AZ 85635-2973 | 5204595227 | SOUTHERN ARIZONA RAD ASSOCIATES, LLC |
| 5700 E Hwy 90, Sierra Vista, AZ 85635-9110 | 5202632000 | SANTA CRUZ RADIOLOGY, LLC |
| 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 6028642130 | ARIZONA STATE RADIOLOGY PC |
| 2951 N Swan Rd, Suite 155, Tucson, AZ 85712-1258 | 5203235900 | ARIZONA ONCOLOGY ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | ARIZONA STATE RADIOLOGY PC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hollie N Gallagher-zate | Diagnostic Radiology | Arizona State Radiology PC | 2492 E River Rd, Tucson, AZ 85718-9552 |
| Lana H Gimber | Diagnostic Radiology | Arizona State Radiology PC | 630 N Alvernon, Tucson, AZ 85711-1843 |
| Brandon R Welker | Diagnostic Radiology | Arizona State Radiology PC | 395 N Silverbell Rd, Suite 115, Tucson, AZ 85745-2718 |
| Joshua A Walsh | Diagnostic Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Timothy J Rolle | Diagnostic Radiology | Arizona State Radiology PC | 400 W Camino Casa Verde, Green Valley, AZ 85614-3564 |
| Stacey R Black | Interventional Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Stella Kahn | Diagnostic Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Nicholas C Fraley | Diagnostic Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Joseph Jordan Simon | Diagnostic Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Sameh Adel Sakla | Diagnostic Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Street Address |
1601 W SAINT MARYS RD |
| City | TUCSON |
| State | AZ |
| Zip | 85745-2623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine A Aspinwall | Internal Medicine | Cogent Healthcare of Arizona PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Laura E De La Torre | Family Medicine | Cogent Healthcare of Arizona PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Ileana I Ortiz | Hospitalist | Cogent Healthcare of Arizona PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Joshua A Walsh | Diagnostic Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Kyle C Edwards | Hospitalist | Cogent Healthcare of Arizona PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Charles M Bazzell | Anesthesiology | Sound Physicians Intensivists of Arizona Inc | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Gregory Shane White | Hospitalist | Cogent Healthcare of Arizona PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Billi Jo Koepke | Nurse Practitioner | Tucson Physician Group Holdings LLC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Shujera Bhutta | Family Medicine | Cogent Healthcare of Arizona PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Stacey R Black | Interventional Radiology | Arizona State Radiology PC | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Phillips | Nurse Practitioner | Take Care Health Arizona PC | 2180 W Grant Rd, Tucson, AZ 85745-1142 |
| Katherine E Perona | Nurse Practitioner | Take Care Health Arizona PC | 2180 W Grant Rd, Tucson, AZ 85745-1142 |
| Jamie L Crede | Nurse Practitioner | Take Care Health Arizona PC | 2180 W Grant Rd, Tucson, AZ 85745-1142 |
| Jarrod S Reino | Nurse Practitioner | Take Care Health Arizona PC | 2180 W Grant Rd, Tucson, AZ 85745-1142 |
| Joshua J Limon | Nurse Practitioner | American Current Care of Arizona Pa | 2301 N Forbes Blvd, Suite 111, Tucson, AZ 85745-1431 |
| Daniel J Norkiewicz | Physical Therapy | Orthomed LLC | 1657 W Grant Rd, Tucson, AZ 85745-1433 |
| Janet L Swan | Physician Assistant | Codac Health Recovery and Wellness | 1671 W Grant Rd, Tucson, AZ 85745-1433 |
| Dorsett Edmunds | Physical Therapy | Orthomed LLC | 1657 W Grant Rd, Tucson, AZ 85745-1433 |
| Michael S Kuntzelman | Psychiatry | Codac Health Recovery and Wellness | 1671 W Grant Rd, Tucson, AZ 85745-1433 |
| Julia N Drabs | Oral Surgery | 1000 N Silverbell Rd, Tucson, AZ 85745-2234 | |
| Find all physicians in zip 85745 | |||
| City | TUCSON |
| Zip Code | 85745 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TUCSON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jacob Ryan Walsh.
| 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.