Cassidy L Jacobs (NPI# 1376056705, PAC ID# 5698032282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1376056705 |
| PAC ID by PECOS | 5698032282 |
| Professional Enrollment ID | I20171207000647 |
| Full Name | Cassidy L Jacobs |
| Organization Legal Name | SCAUP INPATIENT SERVICES LLC |
| Address |
1001 Towson Ave Fort Smith AR 72901-4921 |
| Phone Number | 4794414000 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8325360415 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 Towson Ave, Fort Smith, AR 72901-4921 | 4794414000 | SCAUP INPATIENT SERVICES LLC |
| 1952 Whitney Ave, Internal Med of Greater New Haven, Hamden, CT 06517-1209 | 2038481803 | MARGARET CHUSTECKA INTERNAL MEDICINE OF GREATER NEW HAVEN |
| 831 Boston Post Rd, Milford, CT 06460-3536 | 2038481803 | MARGARET CHUSTECKA INTERNAL MEDICINE OF GREATER NEW HAVEN |
| 385 Main St, West Haven, CT 06516-4312 | 2038486710 | MARGARET CHUSTECKA INTERNAL MEDICINE OF GREATER NEW HAVEN |
| Organization Legal Name | SCAUP INPATIENT SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Combs | Nurse Practitioner | Scaup Inpatient Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Vairagi Choksy | Physician Assistant | Scaup Inpatient Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Frieda-anne Smith | Nurse Practitioner | Scaup Inpatient Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Street Address |
1001 TOWSON AVE |
| City | FORT SMITH |
| State | AR |
| Zip | 72901-4921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haritha Machavarapu | Internal Medicine | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Fiorella Nawar | Critical Care (intensivists) | Baptist Health Services | 1001 Towson Ave, Suite 400, Fort Smith, AR 72901-4921 |
| Natalie D Jordan | Psychiatry | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Daniel D Padgett | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Reed L Tenney | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Ismail Ihmeidan | Diagnostic Radiology | Radiology Services Pa | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Amanda Combs | Nurse Practitioner | Scaup Inpatient Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Tara Rae Sandusky | Nurse Practitioner | Baptist Health Services | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Kathryn Metcalf | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Shane C Jamison | Certified Registered Nurse Anesthetist (crna) | Northwest Arkansas Anesthesia Services LLC | 1001 Towson Ave, Fort Smith, AR 72901-4921 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen D Chiovoloni | Clinical Social Worker | 1320 N B St, Suite 100, Fort Smith, AR 72901-3210 | |
| Jerrica J Thomas | Physical Therapy | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | |
| Charles K Wright | Family Medicine | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Ngoc Van Hoang | General Practice | 1623 Rogers Ave, Fort Smith, AR 72901-3826 | |
| Bryan Holland Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| John C Lane | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Katherine A Irish Clardy | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Elizmary C Cyril | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Edward L Gills | Family Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Lawrence C Price | Internal Medicine | University of Arkansas for Medical Sciences | 1301 S E St, Fort Smith, AR 72901-3892 |
| Find all physicians in zip 72901 | |||
| City | FORT SMITH |
| Zip Code | 72901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT SMITH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Cassidy L Jacobs.
| 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.