Jill S Vidrine (NPI# 1114200565, PAC ID# 2567637374) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114200565 |
| PAC ID by PECOS | 2567637374 |
| Professional Enrollment ID | I20111206000618 |
| Full Name | Jill S Vidrine |
| Organization Legal Name | ADVANCED SPINE JOINT AND WELLNESS CENTER |
| Address |
3591 Reserve Commons Dr Suite 100 Medina OH 44256-5334 |
| Phone Number | 3307216504 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6103066089 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 | 3307216504 | ADVANCED SPINE JOINT AND WELLNESS CENTER |
| Organization Legal Name | ADVANCED SPINE JOINT AND WELLNESS CENTER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew P Meehan | Chiropractic | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Lilli Benck | Chiropractic | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Edwin Pierre Vines | Physical Therapy | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Troy Naftzger | Physician Assistant | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Jeremy Good | Chiropractic | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Street Address |
3591 RESERVE COMMONS DR SUITE 100 |
| City | MEDINA |
| State | OH |
| Zip | 44256-5334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramone Ford | Psychologist, Clinical | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Steven J Davis | Psychologist, Clinical | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Virginia L Dougan | Clinical Social Worker | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Blythe Houghton | Clinical Social Worker | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Matthew P Meehan | Chiropractic | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Colleen M Fritz | Clinical Social Worker | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Staci Shaw | Clinical Social Worker | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Joy Houser Steinbauer | Clinical Social Worker | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Lilli Benck | Chiropractic | Advanced Spine Joint and Wellness Center | 3591 Reserve Commons Dr, Suite 100, Medina, OH 44256-5334 |
| Stephen S Bigley | Psychologist, Clinical | Psychology Consultants Inc | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyndin F Merrick | Chiropractic | 283 E Reagan Pkwy, Medina, OH 44256-1298 | |
| Patricia K Bartosik | Clinical Nurse Specialist | Alternative Paths Inc | 246 Northland Dr, Medina, OH 44256-1533 |
| Matthew Marr | Chiropractic | Maximum Potential Chiropractic, Inc. | 155 Northland Dr, Medina, OH 44256-1534 |
| Matthew Douglas Hamilton | Chiropractic | Maximum Potential Chiropractic, Inc. | 155 Northland Dr, Medina, OH 44256-1534 |
| Patrick Pfantz | Chiropractic | Maximum Potential Chiropractic, Inc. | 155 Northland Dr, Medina, OH 44256-1534 |
| John Allan Barnosky | Chiropractic | Maximum Potential Chiropractic, Inc. | 155 Northland Dr, Medina, OH 44256-1534 |
| Diane Fashinpaur | Nurse Practitioner | Family Statcare of Northeast Ohio, LLC | 275 Forest Meadows Dr, Medina, OH 44256-1632 |
| Nancy Kranek | Physician Assistant | Family Statcare of Northeast Ohio, LLC | 275 Forest Meadows Dr, Medina, OH 44256-1632 |
| James Crowley | Nurse Practitioner | Family Statcare of Northeast Ohio, LLC | 275 Forest Meadows Dr, Medina, OH 44256-1632 |
| Maria K Baran | Nurse Practitioner | Family Statcare of Northeast Ohio, LLC | 275 Forest Meadows Dr, Medina, OH 44256-1632 |
| Find all physicians in zip 44256 | |||
| City | MEDINA |
| Zip Code | 44256 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MEDINA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jill S Vidrine.
| 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.