Patrick M Jackson (NPI# 1629414701, PAC ID# 4587957006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1629414701 |
| PAC ID by PECOS | 4587957006 |
| Professional Enrollment ID | I20160721000631 |
| Full Name | Patrick M Jackson |
| Organization Legal Name | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| Address |
3000 Saint Matthews Rd Orangeburg SC 29118-1442 |
| Phone Number | 8035532200 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2163702739 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420043 | MARY BLACK HEALTH SYSTEM GAFFNEY |
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| 340021 | CAROLINAS HEALTHCARE SYSTEM CLEVELAND |
| 340037 | CAROLINAS HEALTHCARE SYSTEM KINGS MOUNTAIN |
| 100243 | BRANDON REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 119 Oakfield Dr, Brandon, FL 33511-5779 | 8136815551 | VALENCIA EMERGENCY PHYSICIANS LLC |
| 1530 N Limestone St, Gaffney, SC 29340-4742 | 8644874271 | APP OF SOUTH CAROLINA ED PLLC |
| 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 8035532200 | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| 12530 S Us Hwy 301, Riverview, FL 33578 | 8136815551 | VALENCIA EMERGENCY PHYSICIANS LLC |
| 101 E Wood St, Spartanburg, SC 29303-3040 | 8645607501 | SPARTANBURG MEDICAL CENTER |
| Organization Legal Name | SOUND PHYSICIANS EMERGENCY MEDICINE OF SOUTH CAROLINA LLC |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony L Bostick | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 1524 Barnwell Hwy, Denmark, SC 29042 |
| Tyler Kessler Greenberg | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Jeremy Paul Skotko | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Matthew L Blackburn | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Harriette Leanne Alewine Davis | Nurse Practitioner | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| James N Mock | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Anna K Paysinger | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Christopher K Jensen | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Yenney E Meza | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Erin K Payne | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 302 University Pkwy, Aiken, SC 29801-6302 |
| Street Address |
3000 SAINT MATTHEWS RD |
| City | ORANGEBURG |
| State | SC |
| Zip | 29118-1442 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl Armistead Illig | Vascular Surgery | The Regional Medical Center of Orangeburg and Calhoun Counties | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| David Casey Berlin | Certified Registered Nurse Anesthetist (crna) | Ams South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Tyler Kessler Greenberg | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Jeremy Paul Skotko | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Matthew L Blackburn | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Michael B Carothers | Physician Assistant | The Regional Medical Center of Orangeburg and Calhoun Counties | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Harriette Leanne Alewine Davis | Nurse Practitioner | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| George E Castro | Cardiovascular Disease (cardiology) | The Regional Medical Center of Orangeburg and Calhoun Counties | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| James N Mock | Emergency Medicine | Sound Physicians Emergency Medicine of South Carolina LLC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Prudence Chia Mbu | Internal Medicine | Cogent Healthcare of Georgia PC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Brandon Burshtynsky | Physical Therapy | Greenville Proaxis Therapy LLC | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| John Oxford Hutto Sr. | Cardiovascular Disease (cardiology) | The Regional Medical Center of Orangeburg and Calhoun Counties | 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Denise A Canup | Physician Assistant | The Regional Medical Center of Orangeburg and Calhoun Counties | 2664 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Mabelle Castro | Physical Therapy | Greenville Proaxis Therapy LLC | 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344 |
| Muhammad Yunis | Internal Medicine | The Regional Medical Center of Orangeburg and Calhoun Counties | 2850 Pelham Ct, Orangeburg, SC 29118-1400 |
| Mohammed Ibrahim Alhatou | Neurology | 2850 Pelham Ct, Orangeburg, SC 29118-1400 | |
| Mahmoud M Abu-ata | Neurology | Neurology and Pain Clinic LLC | 2850 Pelham Ct, Orangeburg, SC 29118-1400 |
| Silvano L Rodrigues Torres | Nephrology | South Carolina Nephrology and Hypertension | 3709 Magnolia St, Orangeburg, SC 29118-1403 |
| John Fant | Pathology | 3000 St Matthews Rd, Dept of Pathology, Orangeburg, SC 29118-1442 | |
| Andrea D Morrall | Certified Registered Nurse Anesthetist (crna) | Atlantic Coast Anesthesia Services PC | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 |
| Find all physicians in zip 29118 | |||
| City | ORANGEBURG |
| Zip Code | 29118 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ORANGEBURG + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Patrick M 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.