Jacob Pickering (NPI# 1912240128, PAC ID# 5193084432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1912240128 |
| PAC ID by PECOS | 5193084432 |
| Professional Enrollment ID | I20180112002648 |
| Full Name | Jacob Pickering |
| Organization Legal Name | INTEGRA IMAGING PS |
| Address |
801 S Stevens St Spokane WA 99204-2654 |
| Phone Number | 5093637745 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355593062 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501326 | PROVIDENCE MOUNT CARMEL HOSPITAL |
| 501309 | PROVIDENCE ST JOSEPH HOSPITAL |
| 501310 | NEWPORT COMMUNITY HOSPITAL |
| 501308 | COULEE MEDICAL CENTER |
| 501314 | OCEAN BEACH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 | 5093637788 | INTEGRA IMAGING PS |
| 1145 Broadway, 2l, Seattle, WA 98122-4201 | 2068604545 | THE POLYCLINIC |
| 525 S Cowley St, Spokane, WA 99202-1381 | 5097474455 | INLAND IMAGING LLC |
| 5715 N Lidgerwood St, Spokane, WA 99208-1225 | 5097474455 | INLAND IMAGING LLC |
| 801 S Stevens St, Spokane, WA 99204-2654 | 5093637745 | INTEGRA IMAGING PS |
| 9631 N Nevada St, Suite 101, Spokane, WA 99218-1193 | 5097474455 | INLAND IMAGING LLC |
| 12420 E Mission Ave, Spokane Valley, WA 99216-1051 | 5097474455 | INLAND IMAGING LLC |
| 16528 E Desmet Ct, Suite A1300, Spokane Valley, WA 99216-3522 | 5097474455 | INLAND IMAGING LLC |
| Organization Legal Name | INTEGRA IMAGING PS |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Gormley | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Paula J Shepherd | Diagnostic Radiology | Integra Imaging Ps | 11012 Se 31st St, Bellevue, WA 98004-7540 |
| Jodi L Bailey | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Joel A Brake | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Gregory M Sterne | Diagnostic Radiology | Integra Imaging Ps | 1145 W Broadway, Seattle, WA 98122-4201 |
| Scott H Carleton | Diagnostic Radiology | Integra Imaging Ps | 31833 Gateway Ctr Blvd S, Federal Way, WA 98003-5616 |
| Mark W Elliott | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Jason S Vergnani | Diagnostic Radiology | Integra Imaging Ps | 1200 12th Ave S, Seattle, WA 98144-2712 |
| Gurpreet S Dhillon | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Sadaf F Zaidi | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Street Address |
801 S STEVENS ST |
| City | SPOKANE |
| State | WA |
| Zip | 99204-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Gormley | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Edward M Iuliano | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Isaac P Reeve | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Shawn R Jones | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Jeffrey P Clarke | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| John W Bell | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Joshua Garcia | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Kathryn M Al Hafian | Nurse Practitioner | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Douglas A Murrey | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Howard Walter Sill | Interventional Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth K Ohalloran | Family Practice | Providence Health and Services Washington | 105 E 8th Ave, Spokane, WA 99204 |
| Monica M Zherebtsov | Pediatric Medicine | Providence Health and Services Washington | 105 E 8th Ave, Suite 418, Spokane, WA 99204 |
| Mark P Guthrie | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Kathleen D Lavis | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Darcy A Kelly | Chiropractic | Healing Center Inc. | 1625 W 4th Ave, Suite 200, Spokane, WA 99204-1720 |
| Lucy E Peterson | Plastic and Reconstructive Surgery | 105 W 8th Ave, Spokane, WA 99204-2300 | |
| Kellen Ross Gumm | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, 110 Northwest Heart and Lung Surgical Association, Spokane, WA 99204-2301 |
| Maria C Cassel | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Michelle Minyoung Rhee | Physician Assistant | Providence Health and Services - Wa | 122 W 7th Ave, Spokane, WA 99204-2301 |
| Anisha Boetel | Psychiatry | Providence Health and Services Washington | 105 W 8th Ave, Suite 450e, Spokane, WA 99204-2302 |
| Find all physicians in zip 99204 | |||
| City | SPOKANE |
| Zip Code | 99204 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SPOKANE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jacob Pickering.
| 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.