Tara R Jackson (NPI# 1992081343, PAC ID# 5890953384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1992081343 |
| PAC ID by PECOS | 5890953384 |
| Professional Enrollment ID | I20120301000417 |
| Full Name | Tara R Jackson |
| Organization Legal Name | PREMIER ANESTHESIA OF HUNTSVILLE A DIVISION OF PREMIER ANESTHESIA LLC |
| Address |
609 Medical Ctr Dr Decatur TX 76234-3836 |
| Phone Number | 9406275921 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 7012045685 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 609 Medical Ctr Dr, Decatur, TX 76234-3836 | 9406275921 | PREMIER ANESTHESIA OF HUNTSVILLE A DIVISION OF PREMIER ANESTHESIA LLC |
| 5501 S Expressway, Suite 77, Harlingen, TX 78550-3213 | 9563651000 | PREMIER ANESTHESIA OF HUNTSVILLE A DIVISION OF PREMIER ANESTHESIA LLC |
| 110 Medical Hospital Dr, Huntsville, TX 77340-4940 | 9362913411 | PREMIER ANESTHESIA OF HUNTSVILLE A DIVISION OF PREMIER ANESTHESIA LLC |
| Organization Legal Name | PREMIER ANESTHESIA OF HUNTSVILLE A DIVISION OF PREMIER ANESTHESIA LLC |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Lathan Peeples | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 |
| Marc J Grenier | Certified Registered Nurse Anesthetist | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 110 Memorial Hospital Dr, Huntsville, TX 77340-4940 |
| Zbigniew Kusmierz | Anesthesiology | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 5501 S Expressway, Suite 77, Harlingen, TX 78550-3213 |
| Carey B Simon | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 110 Medical Hospital Dr, Huntsville, TX 77340-4940 |
| Richard M Jimenez | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 5501 S Expressway, Suite 77, Harlingen, TX 78550-3213 |
| Dwayne Ray Emmons | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 |
| Lori A Yeager | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 3200 N Tarrant Pkwy, Fort Worth, TX 76177-8611 |
| Richard B Grace | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Adolfo Giubergia | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 301 W Expressway, Suite 83, Mcallen, TX 78503-3045 |
| Alyssa Stephanie Dawson | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 5501 S Expressway, Suite 77, Harlingen, TX 78550-3213 |
| Street Address |
609 MEDICAL CTR DR |
| City | DECATUR |
| State | TX |
| Zip | 76234-3836 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nagendra Gupta | Hospitalist | Apogee Medical Group Texas Pa | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Anupama Chennupati | Infectious Disease | 609 Medical Ctr Dr, Suite 2500, Decatur, TX 76234-3846 | |
| Clement A Anyanwu | Emergency Medicine | Wise Emergency Medicine Associates Pa | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Richard B Grace | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Charles E Bell | Nurse Practitioner | Apogee Medical Group Texas Pa | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Muhammad A Asim | Gastroenterology | Advanced Gastroenterology Associates, Pa | 609 Medical Ctr Dr, Suite 2600, Decatur, TX 76234-3846 |
| Teresa A Proietti | Emergency Medicine | Wise Emergency Medicine Associates Pa | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| David G Reid | Emergency Medicine | Wise Emergency Medicine Associates Pa | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Alexandra M Edwards | Certified Registered Nurse Anesthetist (crna) | Premier Anesthesia of Huntsville A Division of Premier Anesthesia LLC | 609 Medical Ctr Dr, Decatur, TX 76234-3836 |
| Syed Naveed Hussain | Endocrinology | 609 Medical Ctr Dr, Suite 2800, Decatur, TX 76234-3862 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Jordan | Clinical Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | |
| Tad Billmire | Optometry | 104 S Washburn St, Decatur, TX 76234-1608 | |
| Edward H Fries | Optometry | 303 S Washburn St, Dba Decatur Eye Center, Decatur, TX 76234-1633 | |
| Ronald W Westbrook | Chiropractic | 1700 W Business, Suite 380, Decatur, TX 76234-3232 | |
| Sanjoy Sundaresan | Pain Management | 1100 W Business, 380 Unit F, Decatur, TX 76234-3268 | |
| Joanne Pham | Otolaryngology | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Julie Mistic | Qualified Audiologist | Ent and Allergy Clinic Pa | 1600 W Us Business, 380 Suite A, Decatur, TX 76234-3271 |
| Randall W Mckenna | Orthopedic Surgery | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Ricky Lynn Childers | Podiatry | North Central Texas Foot and Ankle, LLC | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Troy B Chandler | Physician Assistant | North Central Texas Orthopaedics and Sports Medicine Pa | 1713 S Fm, 51 Suite 103, Decatur, TX 76234-3644 |
| Find all physicians in zip 76234 | |||
| City | DECATUR |
| Zip Code | 76234 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | DECATUR + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Tara R 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.