Jacob E Pudenz (NPI# 1912242983, PAC ID# 1557508199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1912242983 |
PAC ID by PECOS | 1557508199 |
Professional Enrollment ID | I20130520000049 |
Full Name | Jacob E Pudenz |
Address |
14 Main St Newhall IA 52315-8800 |
Gender | M |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 2011 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
14 Main St, Newhall, IA 52315-8800 |
Street Address |
14 MAIN ST |
City | NEWHALL |
State | IA |
Zip | 52315-8800 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maria A Brucculeri | Psychologist, Clinical | 14 Main St, Southboro, MA 01772-1614 | |
James Cyr | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
Theresa Flannery-blachura | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
Sheila A Shaw | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
Angela M Burlock | Clinical Social Worker | Northern Lighthouse Inc | 14 Main St, Mars Hill, ME 04758-3402 |
Julie Roebuck | Clinical Social Worker | 14 Main St, Suite 203, Madison, NJ 07940-1818 | |
Marie G Rudden | Psychiatry | 14 Main St, West Stockbridge, MA 01266-9707 | |
Daryle N Luplow | Chiropractic | 14 Main St, Attica, NY 14011-1009 |
Name | Specialty | Organization | Address |
---|---|---|---|
Shailesh Gandhi | Pain Management | Innovative Pain Care LLC | 2900 W Oaklahoma Ave, Milwaukee, WI 52315-4330 |
City | NEWHALL |
Zip Code | 52315 |
Specialty | CHIROPRACTIC |
City + Specialty | NEWHALL + 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.