Jacqulyn Stachowiak
SOUTHWEST GENERAL MEDICAL GROUP, INC.


Address: 18697 Bagley Rd, Cleveland, OH 44130-3417
Phone: 4408166051

Jacqulyn Stachowiak (NPI# 1073068896, PAC ID# 3072894237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1073068896
PAC ID by PECOS 3072894237
Professional Enrollment ID I20161229001464
Full Name Jacqulyn Stachowiak
Organization Legal Name SOUTHWEST GENERAL MEDICAL GROUP, INC.
Address 18697 Bagley Rd
Cleveland
OH 44130-3417
Phone Number 4408166051
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8527964550
Number of Group Practice Members 97
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360155 SOUTHWEST GENERAL HEALTH CENTER

Other Locations

Address Phone Organization
18697 Bagley Rd, Cleveland, OH 44130-3417 4408166051 SOUTHWEST GENERAL MEDICAL GROUP, INC.

Organization Information

Organization Legal Name SOUTHWEST GENERAL MEDICAL GROUP, INC.
Physicians 93

Physicians with the same organization

Name Specialty Organization Address
Jennifer Anne Degyansky Nurse Practitioner Southwest General Medical Group, Inc. 7225 Old Oak Blvd, Suite A210, Cleveland, OH 44130-3339
David L Fox Psychiatry Southwest General Medical Group, Inc. 18051 Jefferson Park Rd, Suite 106, Cleveland, OH 44130-3460
William K Hahn Jr. Obstetrics/gynecology Southwest General Medical Group, Inc. 1330 W Bagley Rd, Berea, OH 44017-2912
Sanjit S Bindra Endocrinology Southwest General Medical Group, Inc. 7255 Old Oak Blvd, C202, Cleveland, OH 44130-3300
Sultan D Zaidan Physical Medicine and Rehabilitation Southwest General Medical Group, Inc. 7255 Old Oak Blvd, C202, Cleveland, OH 44130-3300
Bradley A Blackburn Diagnostic Radiology Southwest General Medical Group, Inc. 7255 Old Oak Blvd, C202, Cleveland, OH 44130-3300
Desiderio Pina Psychiatry Southwest General Medical Group, Inc. 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Newton P Muthunayagam Gastroenterology Southwest General Medical Group, Inc. 7255 Old Oak Blvd, Suite C406, Middleburg Heights, OH 44130-3331
Amy Labuda Certified Nurse Midwife (cnm) Southwest General Medical Group, Inc. 7255 Old Oak Blvd, C202, Cleveland, OH 44130-3300
Jeffrey Paul Riskin Clinical Social Worker Southwest General Medical Group, Inc. 7255 Old Oak Blvd, C202, Cleveland, OH 44130-3300

Office Location

Street Address 18697 BAGLEY RD
City CLEVELAND
State OH
Zip 44130-3417

Physicians in the same location

Name Specialty Organization Address
Laura A Bobrowski Nurse Practitioner Southwest General Health Center 18697 Bagley Rd, Cleveland, OH 44130-3417
Shelley A Burke Internal Medicine Hni Medical Services of Ohio, LLC 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Mary K Pallotta Nurse Practitioner Southwest General Health Center 18697 Bagley Rd, Cleveland, OH 44130-3417
Nina Asbury Emergency Medicine Emergency Professional Services, Inc. 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Austin J Peters Diagnostic Radiology Columbus Radiology Corp 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Desiderio Pina Psychiatry Southwest General Medical Group, Inc. 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Michael Grant Svestka General Surgery Northeast Ohio Group Practice 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Heather Kuo Hospitalist Hni Medical Services of Ohio, LLC 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Kyle Thomas Cleveland Hospitalist Hni Medical Services of Ohio, LLC 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
Stephanie Litke Certified Registered Nurse Anesthetist (crna) Ohio Anesthesia Group, Inc 18697 Bagley Rd, Middlebrg Hts, OH 44130-3417
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Physicians in the same zip code

Name Specialty Organization Address
Loretta Y Latsnic Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Valerie Rossos Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Nancy E Macha Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Kimberly L Trutza Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Alexandra I Campbell Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Tiffaney M Moore Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Denise R H Mohar Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Tony Denicola Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Lorraine Erison Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Suite 101, Parma, OH 44130-1043
Vanessa Rae Pappalardo Nurse Practitioner Stafford Services, Inc. 12380 Plaza Dr, Parma, OH 44130-1043
Find all physicians in zip 44130

Competitor

Search similar physicians

City CLEVELAND
Zip Code 44130
Specialty NURSE PRACTITIONER
City + Specialty CLEVELAND + NURSE PRACTITIONER

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Dataset Information

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.

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