Carl E Jackson (NPI# 1831208768, PAC ID# 4082713631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1831208768 |
| PAC ID by PECOS | 4082713631 |
| Professional Enrollment ID | I20070621000577 |
| Full Name | Carl E Jackson |
| Address |
20050 Harvard Ave Suite 205 Warrensville Heights OH 44122-6800 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360144 | SOUTH POINTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3535 Pentagon Blvd, Suite 330, Beavercreek, OH 45431-1705 | 9377024960 | ALLIANCE PHYSICIANS INC |
| 20050 Harvard Ave, Suite 205, Warrensville Heights, OH 44122-6800 |
| Street Address |
20050 HARVARD AVE SUITE 205 |
| City | WARRENSVILLE HEIGHTS |
| State | OH |
| Zip | 44122-6800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel Novack | Podiatry | 20050 Harvard Ave, Suite 205, Warrensville Heights, OH 44122-6800 | |
| Denise K Keriotis | Physician Assistant | The Cleveland Clinic Foundation | 20050 Harvard Ave, Warrensville Heights, OH 44122-6800 |
| Alison Heider | Nurse Practitioner | The Cleveland Clinic Foundation | 20050 Harvard Ave, Warrensville Heights, OH 44122-6800 |
| Sharon L Ginal | Certified Clinical Nurse Specialist (cns) | Northern Ohio Internal Medicine Associates, Inc. | 20050 Harvard Ave, Suite 304, Warrensville Heights, OH 44122-6800 |
| Elizabeth F Habjan | Internal Medicine | The Cleveland Clinic Foundation | 20050 Harvard Ave, Suite 106, Warrensville Heights, OH 44122-6800 |
| Amy Dupont | Nurse Practitioner | Rajesh Agarwal Md, LLC | 20050 Harvard Ave, Suite 300, Warrensville Heights, OH 44122-6800 |
| Amanda Ballard | Physician Assistant | The Cleveland Clinic Foundation | 20050 Harvard Ave, Warrensville Heights, OH 44122-6816 |
| Matthew T Allemang | General Surgery | The Cleveland Clinic Foundation | 20050 Harvard Ave, Warrensville Heights, OH 44122-6800 |
| Erin A Rocchio | Hospitalist | The Cleveland Clinic Foundation | 20050 Harvard Ave, Warrensville Heights, OH 44122-6800 |
| Arun K Gupta | Internal Medicine | Northern Ohio Internal Medicine Associates, Inc. | 20050 Harvard Ave, Suite 304, Warrensville Heights, OH 44122-6800 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel T Dore | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Barbara A Moseley | Nurse Practitioner | University Hospitals Medical Group Inc | 3619 Park E Dr, Beachwood, OH 44122 |
| Harold L Blumenthal | Dermatology | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 | |
| Jerome Z Litt | Dermatology | Drs. J. Z. Litt and H. L. Blumenthal, Inc. | 3619 Park E Dr, Suite 209b, Beachwood, OH 44122 |
| Elizabeth A Hight | Nurse Practitioner | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Raisa A Lerner | Internal Medicine | Rajesh Agarwal Md, LLC | 4200 Warrensville Ct Rd, Warrensville Heights, OH 44122 |
| Kayla Elizabeth Aiosa | Nurse Practitioner | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Beejadi N Mukunda | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Rajesh Agarwal | Internal Medicine | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Nicholas U Ahn | Orthopedic Surgery | Menorah Park Center for Senior Living | 27100 Cedar Rd, Beachwood, OH 44122-1109 |
| Find all physicians in zip 44122 | |||
| City | WARRENSVILLE HEIGHTS |
| Zip Code | 44122 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WARRENSVILLE HEIGHTS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Carl E Jackson.
| 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.