Momodu Alieu Jack (NPI# 1164521019, PAC ID# 4981899648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1164521019 |
| PAC ID by PECOS | 4981899648 |
| Professional Enrollment ID | I20101109000138 |
| Full Name | Momodu Alieu Jack |
| Address |
2139 Georgia Ave Nw 3a Washington DC 20001-3006 |
| Phone Number | 2028657981 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090003 | HOWARD UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2139 Georgia Ave Nw, 3a, Washington, DC 20001-3006 | 2028657981 |
| Street Address |
2139 GEORGIA AVE NW 3A |
| City | WASHINGTON |
| State | DC |
| Zip | 20001-3006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oladunni T Filani | Family Medicine | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Tatiana V Sanses | Obstetrics/gynecology | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Ghulam Abbas | Family Medicine | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Jhansi Lakshmi Gajjala | Infectious Disease | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Mark Johnson | Family Medicine | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Howard E Wilson | Family Medicine | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Jeffrey C Sellers | Obstetrics/gynecology | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Krishnan Narasimhan | Family Medicine | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Celia Maxwell | Infectious Disease | Howard University | 2139 Georgia Ave Nw, Washington, DC 20001-3035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Claire Brady Novak | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Jacquelyn M Horton | Clinical Social Worker | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Cecillia Tsao | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Shiban L Raina | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Mir Javid | Internal Medicine | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Deborah V Suchman | Nurse Practitioner | Providence Health Services Inc | 128 M St Nw, Washington, DC 20001-1205 |
| Anna Quast | Nurse Practitioner | Some Inc | 60 O Nwst, Washington, DC 20001-1259 |
| Arda Kasaci | Psychiatry | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Janelle Marie Mancuso | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Theresa M. Owens | Clinical Social Worker | Some Inc | 60 O St Nw, Washington, DC 20001-1259 |
| Find all physicians in zip 20001 | |||
| City | WASHINGTON |
| Zip Code | 20001 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | WASHINGTON + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Momodu Alieu Jack.
| 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.