Jacqulyn Stachowiak (NPI# 1073068896, PAC ID# 3072894237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360155 | SOUTHWEST GENERAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18697 Bagley Rd, Cleveland, OH 44130-3417 | 4408166051 | SOUTHWEST GENERAL MEDICAL GROUP, INC. |
| Organization Legal Name | SOUTHWEST GENERAL MEDICAL GROUP, INC. |
| Physicians | 93 |
| 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 |
| Street Address |
18697 BAGLEY RD |
| City | CLEVELAND |
| State | OH |
| Zip | 44130-3417 |
| 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 |
| Find all physicians in the same address | |||
| 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 | |||
| City | CLEVELAND |
| Zip Code | 44130 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLEVELAND + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqulyn Stachowiak.
| 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.