Jacqueline Ruark Smith (NPI# 1376554303, PAC ID# 0941437420) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1376554303 |
| PAC ID by PECOS | 0941437420 |
| Professional Enrollment ID | I20131206001118 |
| Full Name | Jacqueline Ruark Smith |
| Organization Legal Name | STATCARE GROUP III, PC |
| Address |
28522 Marlboro Ave Easton MD 21601-2792 |
| Phone Number | 4437460086 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214221472 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8 Denton Plz, Denton, MD 21629-9501 | 4436062300 | STATCARE GROUP III, PC |
| 28522 Marlboro Ave, Easton, MD 21601-2792 | 4437460086 | STATCARE GROUP III, PC |
| Organization Legal Name | STATCARE GROUP III, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oluwaseun Oluwadamilol Olowomeye | Nurse Practitioner | Statcare Group IIi, PC | 8 Denton Plz, Denton, MD 21629-9501 |
| Tammy L Rotondo | Nurse Practitioner | Statcare Group IIi, PC | 28522 Marlboro Ave, Easton, MD 21601-2792 |
| Shayna Marie Kerr | Nurse Practitioner | Statcare Group IIi, PC | 28522 Marlboro Ave, Easton, MD 21601-2792 |
| Street Address |
28522 MARLBORO AVE |
| City | EASTON |
| State | MD |
| Zip | 21601-2792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy L Rotondo | Nurse Practitioner | Statcare Group IIi, PC | 28522 Marlboro Ave, Easton, MD 21601-2792 |
| Shayna Marie Kerr | Nurse Practitioner | Statcare Group IIi, PC | 28522 Marlboro Ave, Easton, MD 21601-2792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina M Ball | Nurse Practitioner | Integrace Health Inc | 501 Dutchman's Lane, Easton, MD 21601 |
| Kathryn J Meyer | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| Elizabeth R Tomar | Psychiatry | Integrace Health Inc | 501 Dutchman's Lane, Easton, MD 21601 |
| Manjit S Chowdhary | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| John E Mulflur | Anesthesiology | Tidewater Anesthesia Associates, Pa | 510 Inlewila Ave, Suite 110, Easton, MD 21601 |
| Stanley Allen Feinblum | Optometry | Easton Optical, LLC | 210 Marlboro Ave, 31 Easton Eye Care and Optical, Easton, MD 21601-2716 |
| Kyle Nicholas Kravetz | Optometry | Easton Optical, LLC | 210 Marlboro Ave, 31 Easton Eye Care and Optical, Easton, MD 21601-2716 |
| Curtis Matthew Foy | Family Medicine | Anne Arundel Physician Group LLC | 28438 Marlboro Ave, Easton, MD 21601-2732 |
| Aarti Kishen | Clinical Social Worker | 19 Bay St, Suite 2, Easton, MD 21601-2754 | |
| Alexander Earl Carpenter | Optometry | Easton Optical, LLC | 210 Marlboro Ave, Suite 31, Easton, MD 21601-2767 |
| Find all physicians in zip 21601 | |||
| City | EASTON |
| Zip Code | 21601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EASTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline Ruark Smith.
| 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.