Samantha A Jackson (NPI# 1770729535, PAC ID# 2365592888) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770729535 |
| PAC ID by PECOS | 2365592888 |
| Professional Enrollment ID | I20090604000046 |
| Full Name | Samantha A Jackson |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Address |
1402 E County Rd S Suite 2400 Indianapolis IN 46227-0963 |
| Phone Number | 3174976666 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759416662 |
| Number of Group Practice Members | 1076 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150074 | COMMUNITY HOSPITAL EAST |
| 150169 | COMMUNITY HOSPITAL NORTH |
| Address | Phone | Organization |
|---|---|---|
| 1402 E County Rd S, Suite 2400, Indianapolis, IN 46227-0963 | 3174976666 | COMMUNITY PHYSICIANS OF INDIANA INC |
| 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 3176218500 | COMMUNITY PHYSICIANS OF INDIANA INC |
| Organization Legal Name | COMMUNITY PHYSICIANS OF INDIANA INC |
| Physicians | 1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Miranda Tedder | Nurse Practitioner | Community Physicians of Indiana Inc | 3611 S Reed Rd, Suite 214, Kokomo, IN 46902-3828 |
| Sasikanth Adigopula | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 |
| Itoro Okpokho | Family Medicine | Community Physicians of Indiana Inc | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 |
| Rebecca A King | Nurse Practitioner | Community Physicians of Indiana Inc | 101 S Liberty St, Russiaville, IN 46979-9125 |
| Minesh Dinesh Rajkotia | Family Medicine | Community Physicians of Indiana Inc | 333 E Co Line Rd B, Greenwood, IN 46143-1046 |
| Sarah E Dilley | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
| Alyson M Ruotanen | Qualified Audiologist | Community Physicians of Indiana Inc | 1550 E County Line Rd, Suite 315, Indianapolis, IN 46227-0990 |
| Fnu Rakshita Chandrashekar | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1101 W Jefferson St S, Franklin, IN 46131-2147 |
| Robert W Godley Ii | Cardiovascular Disease (cardiology) | Community Physicians of Indiana Inc | 1130 W Jefferson St, Suite D, Franklin, IN 46131-2760 |
| Patricia Justine Irvin | Nurse Practitioner | Community Physicians of Indiana Inc | 2920 N Arlington Ave, Suite B, Indianapolis, IN 46218-3362 |
| Street Address |
1402 E COUNTY RD S SUITE 2400 |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46227-0963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramarao Yeleti | Interventional Cardiology | Community Physicians of Indiana Inc | 1402 E County Rd S, Suite 2400, Indianapolis, IN 46227-0963 |
| Aida L Torres | Nurse Practitioner | Community Physicians of Indiana Inc | 1402 E County Rd S, Suite 2400, Indianapolis, IN 46227-0963 |
| Nitesh Gadeela | Interventional Cardiology | Community Physicians of Indiana Inc | 1402 E County Rd S, Suite 2400, Indianapolis, IN 46227-0963 |
| Debra S Boyce | Family Practice | Community Physicians of Indiana Inc | 1402 E County Rd S, Suite 2400, Indianapolis, IN 46227-0963 |
| John D Freeland | Certified Registered Nurse Anesthetist | Community Physicians of Indiana Inc | 1402 E County Rd S, Suite 2400, Indianapolis, IN 46227-0963 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah E Dilley | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
| Cortnie N Yoder | Physician Assistant | Community Physicians of Indiana Inc | 1402 E County Line Rd, Suite 2400, Indianapolis, IN 46227-0963 |
| Ian S Scharrer | Hospitalist | Community Physicians of Indiana Inc | 1402 E County Line Rd S, Indianapolis, IN 46227-0963 |
| Janice Fitzharris | Pathology | Ameripath Indianapolis PC | 1402 E County Line Rd Pathology Dept, Indianapolis, IN 46227-0963 |
| Christopher Alan Healy | Cardiac Electrophysiology | Community Physicians of Indiana Inc | 1402 E County Line Rd, Suite 2400, Indianapolis, IN 46227-0963 |
| Faheem A Abbasi | Critical Care (intensivists) | Community Physicians of Indiana Inc | 1402 E County Line Rd, Suite 2400, Indianapolis, IN 46227-0963 |
| Jasjit Kaur Mudhar | Hospitalist | Community Physicians of Indiana Inc | 1402 E County Line Rd S, Indianapolis, IN 46227-0963 |
| Tyler J Callahan | Family Medicine | Community Physicians of Indiana Inc | 1402 E County Line Rd S, Indianapolis, IN 46227-0963 |
| William Jeffrey Lowery | Gynecological Oncology | Community Physicians of Indiana Inc | 1440 E County Line Rd, Suite 1200, Indianapolis, IN 46227-0963 |
| Tara Denise Lowe | Nurse Practitioner | Community Physicians of Indiana Inc | 1402 E County Line Rd, Suite 2400, Indianapolis, IN 46227-0963 |
| Find all physicians in zip 46227 | |||
| City | INDIANAPOLIS |
| Zip Code | 46227 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | INDIANAPOLIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Samantha A 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.