Jason Mack Eversole (NPI# 1699159178, PAC ID# 2365792330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699159178 |
| PAC ID by PECOS | 2365792330 |
| Professional Enrollment ID | I20180912002939 |
| Full Name | Jason Mack Eversole |
| Organization Legal Name | SOUTHWEST HEALTH SYSTEM INC |
| Address |
1311 A N Mildred Rd A Southwest Memorial Specialty Care Cortez CO 81321-2231 |
| Phone Number | 9705642681 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890699326 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061327 | SOUTHWEST MEMORIAL HOSPITAL |
| 060013 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1311 A N Mildred Rd, Cortez, CO 81321-2231 | 9705658556 | SOUTHWEST HEALTH SYSTEM INC |
| 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 | 9705642681 | SOUTHWEST HEALTH SYSTEM INC |
| 1311 N Mildred Rd, Cortez, CO 81321-2231 | 9705656666 | SOUTHWEST HEALTH SYSTEM INC |
| 1413 N Mildred Rd, Cortez, CO 81321-2258 | 9705641037 | SOUTHWEST HEALTH SYSTEM INC |
| Organization Legal Name | SOUTHWEST HEALTH SYSTEM INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ann Gero | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Crysta Jo Jones | Physician Assistant | Southwest Health System Inc | 1413 N Mildred Rd, Cortez, CO 81321-2258 |
| Marcelyn Lepique | Obstetrics/gynecology | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Kameo Smith | Family Medicine | Southwest Health System Inc | 111 Railroad Ave, Mancos, CO 81328-9329 |
| Laura T Medina | General Surgery | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Jonathan Lane Shepard | Physician Assistant | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Teresa S Brown-sanchez | Nurse Practitioner | Southwest Health System Inc | 1413 N Mildred Rd, Cortez, CO 81321-2258 |
| Susan Lou Laningham | Internal Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Jason L Bourland | Emergency Medicine | Southwest Health System Inc | 1311 N Mildred Rd, Cortez, CO 81321-2231 |
| Melissa J Churchill | Nurse Practitioner | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Street Address |
1311 A N MILDRED RD A SOUTHWEST MEMORIAL SPECIALTY CARE |
| City | CORTEZ |
| State | CO |
| Zip | 81321-2231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcelyn Lepique | Obstetrics/gynecology | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Jonathan Lane Shepard | Physician Assistant | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Melissa J Churchill | Nurse Practitioner | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Kevin Matteson | General Surgery | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Erin D Schmitt | Obstetrics/gynecology | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Leslie Stanwix | Family Medicine | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Brandon D Sanchez | Physician Assistant | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Melissa Evon Sims | Nurse Practitioner | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Douglas R Bagge | Orthopedic Surgery | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Robert C Benjamin | Physician Assistant | Southwest Health System Inc | 1311 A N Mildred Rd A, Southwest Memorial Specialty Care, Cortez, CO 81321-2231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiviok G Hight | Chiropractic | 112 W Montezuma, Cortez, CO 81321 | |
| Lucia A Arriola-story | Qualified Audiologist | 892 Cottonwood St, Suite 2, Cortez, CO 81321-2200 | |
| Frank Weaver Iii | Audiologist | Montezuma Hearing Clinic Inc | 892 Cottonwood St, Suite 2, Cortez, CO 81321-2200 |
| Landon E Lavene | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Najib Chapman Johnson | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Kari B Cockrill | Occupational Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Debra Sue Berger | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Julie Maureen Carpenter | Occupational Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Serae Marie Mele | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Dee Kristine Prock | Physical Therapy | Johnson Physical Therapy and Rehab PC | 1280 N Mildred, Suite 2, Cortez, CO 81321-2212 |
| Find all physicians in zip 81321 | |||
| City | CORTEZ |
| Zip Code | 81321 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CORTEZ + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jason Mack Eversole.
| 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.