Edgar B Jackson (NPI# 1598833410, PAC ID# 6103879697) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1598833410 |
| PAC ID by PECOS | 6103879697 |
| Professional Enrollment ID | I20050224000385 |
| Full Name | Edgar B Jackson |
| Organization Legal Name | MILWAUKEE HEALTH SERVICES, INC. |
| Address |
8200 W Silver Spring Dr Milwaukee WI 53218-2552 |
| Phone Number | 4142672641 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1957 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 7416946884 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 | 4142672641 | MILWAUKEE HEALTH SERVICES, INC. |
| Organization Legal Name | MILWAUKEE HEALTH SERVICES, INC. |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia A Beale | Certified Nurse Midwife | Milwaukee Health Services, Inc. | 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212-2709 |
| Tito L Izard | Family Medicine | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Enid A Trotman | Internal Medicine | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Inez Jane D Luna | Certified Nurse Midwife (cnm) | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Mark P Behar | Physician Assistant | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Bao Xiong | Nurse Practitioner | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Teresa M Skora | Nurse Practitioner | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Ngozi Catherine Obiora | Nurse Practitioner | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Lori L Hartz | Nurse Practitioner | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Aronica V Williams | Family Medicine | Milwaukee Health Services, Inc. | 2555 N Dr Mlk Dr, Milwaukee, WI 53212-2709 |
| Street Address |
8200 W SILVER SPRING DR |
| City | MILWAUKEE |
| State | WI |
| Zip | 53218-2552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arthur R Mines Jr. | Family Medicine | Milwaukee Health Services, Inc. | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 |
| Michael J Bohn | Psychiatry | Milwaukee Health Services, Inc. | 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeana Holt | Nurse Practitioner | University of Wisconsin System Non Payroll | 5460 N 64th St, Milwaukee, WI 53218-3020 |
| Thai Lee | Chiropractic | 7373 W Fond Du Lac Ave, Milwaukee, WI 53218-3861 | |
| Anatoliy Velikodanov | Nurse Practitioner | Lubsey Medical Clinic Inc | 5300 W Villard Ave, Milwaukee, WI 53218-4345 |
| Barbara J Szopinski | Nurse Practitioner | Lubsey Medical Clinic Inc | 5300 W Villard Ave, Milwaukee, WI 53218-4345 |
| Champalal Gupta | Internal Medicine | Lubsey Medical Clinic Inc | 5300 W Villard Ave, Milwaukee, WI 53218-4345 |
| Samantha A Wierschke | Physical Therapy | Physiotherapy Associates Inc | 5231 W Villard Ave, Milwaukee, WI 53218-4368 |
| Rebecca D Rodriguez | Psychologist, Clinical | Wellqor Psychological Services of Wisconsin, S.c. | 8050 W Appleton Ave, Milwaukee, WI 53218-4504 |
| George N Lor | Chiropractic | 4701 N 76th St, Suite 201, Milwaukee, WI 53218-4700 | |
| Mohammad Y Samara | Family Medicine | 5301 W Hampton Ave, Milwaukee, WI 53218-5019 |
| City | MILWAUKEE |
| Zip Code | 53218 |
| Specialty | PSYCHIATRY |
| City + Specialty | MILWAUKEE + PSYCHIATRY |
Please comment or provide details below to improve the information on Edgar B 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.