Jennifer A Martnick (NPI# 1770928749, PAC ID# 2466691522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1770928749 |
| PAC ID by PECOS | 2466691522 |
| Professional Enrollment ID | I20130620000528 |
| Full Name | Jennifer A Martnick |
| Organization Legal Name | HOSPICE OF THE WESTERN RESERVE, INC. |
| Address |
17876 St Clair Ave Cleveland OH 44110-2602 |
| Phone Number | 2163832222 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476539982 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17876 St Clair Ave, Cleveland, OH 44110-2602 | 2163832222 | HOSPICE OF THE WESTERN RESERVE, INC. |
| 1900 23rd St, Cuyahoga Falls, OH 44223-1404 | 3309717441 | HOSPICE OF THE WESTERN RESERVE, INC. |
| Organization Legal Name | HOSPICE OF THE WESTERN RESERVE, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katharine K Cirino | Nurse Practitioner | Hospice of The Western Reserve, Inc. | 3 Gateway, Cleveland, OH 44119-2447 |
| Street Address |
17876 ST CLAIR AVE |
| City | CLEVELAND |
| State | OH |
| Zip | 44110-2602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenelm F Mccormick | Family Medicine | Hospice of The Western Reserve Inc | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 |
| Cynthia Boggins | Nurse Practitioner | Hospice of The Western Reserve Inc | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 |
| Tambert J Whetsel | Nurse Practitioner | Hospice of The Western Reserve Inc | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 |
| Ashley L Simmons | Nurse Practitioner | Hospice of The Western Reserve Inc | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 |
| Nicole M Sugalski | Nurse Practitioner | Hospice of The Western Reserve Inc | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 |
| Brandie L Hebb | Nurse Practitioner | Hospice of The Western Reserve Inc | 17876 Saint Clair Ave, Cleveland, OH 44110-2602 |
| City | CLEVELAND |
| Zip Code | 44110 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEVELAND + NURSE PRACTITIONER |
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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.