Jayson R St Jacques (NPI# 1629035183, PAC ID# 2961492293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1629035183 |
| PAC ID by PECOS | 2961492293 |
| Professional Enrollment ID | I20040517001404 |
| Full Name | Jayson R St Jacques |
| Organization Legal Name | PROVIDENCE DIAGNOSTIC IMAGING INC |
| Address |
1233 Main St Holyoke MA 01040-5381 |
| Phone Number | 4135392803 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Group Practice PAC ID | 1052300787 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220066 | MERCY MEDICAL CTR |
| 220077 | BAYSTATE MEDICAL CENTER |
| 220024 | HOLYOKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1233 Main St, Holyoke, MA 01040-5381 | 4135392803 | PROVIDENCE DIAGNOSTIC IMAGING INC |
| 271 Carew St, Springfield, MA 01104-2398 | 4137489200 | PROVIDENCE DIAGNOSTIC IMAGING INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 88% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | PROVIDENCE DIAGNOSTIC IMAGING INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Friedman | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| Rashmi Balasubramanya | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| Joanna A Carlson | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| David B Mernoff | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Parshant Puri | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| Warren P Shepherd Jr. | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| Bernita M Spagnoli | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| Gregory E Blackman | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| John Paul B Velasco | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 271 Carew St, Springfield, MA 01104-2398 |
| Street Address |
1233 MAIN ST |
| City | HOLYOKE |
| State | MA |
| Zip | 01040-5381 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chhewang Norsang | Psychiatry | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Kathleen Marie Hershon | Psychiatry | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Josephine Cassidy Quinn | Clinical Social Worker | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Katherine Anne Krauskopf | Internal Medicine | Mercy Specialist Physicians, Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Barri A Belnap | Psychiatry | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| David B Mernoff | Diagnostic Radiology | Providence Diagnostic Imaging Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Maria A Vidal | Psychiatry | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Gaurav Chawla | Psychiatry | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Yolanda Ramos | Clinical Social Worker | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Susan M Plante | Certified Clinical Nurse Specialist (cns) | The Mercy Hospital Inc | 1233 Main St, Holyoke, MA 01040-5381 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi L Olivero | Clinical Social Worker | 1789 Northampton St, Holyoke, MA 01040-1920 | |
| Mrinal S. Mali | Diagnostic Radiology | Connecticut Imaging Partners, LLC | 575 Beech St, Holyoke, MA 01040-2223 |
| Natalie Peters | Emergency Medicine | Lakes National Emergency Physicians Inc | 575 Beech St, Holyoke, MA 01040-2223 |
| Piyush Johari | Psychiatry | 575 Beech St, Holyoke, MA 01040-2223 | |
| Bela A Horvath | Pathology | Holyoke Medical Center Inc | 575 Beech St, Holyoke, MA 01040-2223 |
| James Mckee | Emergency Medicine | Lakes National Emergency Physicians Inc | 575 Beech St, Holyoke, MA 01040-2223 |
| Julian Hernandez | Emergency Medicine | Lakes National Emergency Physicians Inc | 575 Beech St, Holyoke, MA 01040-2223 |
| Alice Mary Graham-brown | Psychiatry | 575 Beech St, Holyoke, MA 01040-2223 | |
| Kalpana L Mani | Diagnostic Radiology | Jefferson Radiology PC | 575 Beech St, Holyoke, MA 01040-2223 |
| Alissa B Zalewski | Nurse Practitioner | Lakes National Emergency Physicians Inc | 575 Beech St, Holyoke, MA 01040-2223 |
| Find all physicians in zip 01040 | |||
| City | HOLYOKE |
| Zip Code | 01040 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | HOLYOKE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jayson R St Jacques.
| 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.