Jenika L Miles
VISTA MEDICAL SERVICES INC


Address: 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Phone: 2152351600

Jenika L Miles (NPI# 1255503892, PAC ID# 7113249855) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1255503892
PAC ID by PECOS 7113249855
Professional Enrollment ID I20141208000595
Full Name Jenika L Miles
Organization Legal Name VISTA MEDICAL SERVICES INC
Address 1001 Wallace St
Tucker Nursing Home
Philadelphia
PA 19123-2599
Phone Number 2152351600
Gender F
Graduation Year 2014
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5597743344
Number of Group Practice Members 38
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310061 LOURDES MEDICAL CENTER OF BURLINGTON COUNTY

Other Locations

Address Phone Organization
651 High St, Burlington City, NJ 08016-2737 6093860775 SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC
449 S Pennsville-auburn Rd, Southgate Health Care Center, Carneys Point, NJ 08069-2691 6106676080 VISTA MEDICAL SERVICES INC
860 S White Horse Pike, Hammonton, NJ 08037-2018 6095670200 SOUTHERN JERSEY FAMILY MEDICAL CENTERS, INC
765 E Route 70, Bldg A, Marlton, NJ 08053-2341 8569833900 CENTER FOR FAMILY GUIDANCE, PC
1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599 2152351600 VISTA MEDICAL SERVICES INC

Organization Information

Organization Legal Name VISTA MEDICAL SERVICES INC
Physicians 38

Physicians with the same organization

Name Specialty Organization Address
Marquita Y Johniken Nurse Practitioner Vista Medical Services Inc 5651 Limestone Rd, Wilmington, DE 19808-1217
John M Uveges Psychologist, Clinical Vista Medical Services Inc 231 S Washington St, Atlantic Shores and Rehab, Millsboro, DE 19966-1236
Lori A Ruskin Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Jill C Ballenger Nurse Practitioner Vista Medical Services Inc 449 S Pennsville-auburn Rd, Southgate Health Care Center, Carneys Point, NJ 08069-2691
Susan Fralick-ball Psychologist, Clinical Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Ernest B Tamajong Nurse Practitioner Vista Medical Services Inc 5651 Limestone Rd, Wilmington, DE 19808-1217
Matthew P Richmond Psychologist, Clinical Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Eric Cole Psychologist, Clinical Vista Medical Services Inc 5651 Limestone Rd, Wilmington, DE 19808-1217
Ruth Sampson Pilgrim Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Kathleen Lazar Psychologist, Clinical Vista Medical Services Inc 700 Foulk Rd, Wilmington, DE 19803-3708

Office Location

Street Address 1001 WALLACE ST
TUCKER NURSING HOME
City PHILADELPHIA
State PA
Zip 19123-2599

Physicians in the same location

Name Specialty Organization Address
Lori A Ruskin Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Susan Fralick-ball Psychologist, Clinical Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Matthew P Richmond Psychologist, Clinical Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Ruth Sampson Pilgrim Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Deborah J Buck Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
John C Devine Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Isabella A Tembe Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Katrina K Dennison Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Birgit A Collier Nurse Practitioner Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
Larry Durlofsky Geriatric Psychiatry Vista Medical Services Inc 1001 Wallace St, Tucker Nursing Home, Philadelphia, PA 19123-2599
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Physicians in the same zip code

Name Specialty Organization Address
Rosilyn T Smith Psychiatry Centralized Comprehensive Human Services, Inc. 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013
Howard N Brooks Family Medicine Centralized Comprehensive Human Services, Inc. 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013
James J Nocks Psychiatry Centralized Comprehensive Human Services, Inc. 907 N Broad St, Philadelphia, PA 19123-1013
Sunny F Ekwunife Family Practice Centralized Comprehensive Human Services, Inc. 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013
Edith Senyumba General Practice Centralized Comprehensive Human Services, Inc. 907 N Broad St, Durg Treatment/methadone Clinic, Philadelphia, PA 19123-1013
Arun K Mohanty Internal Medicine 445 W Girard Ave, Philadelphia, PA 19123-1427
Nasira Y Majid Family Medicine 445 W Girard Ave, Philadelphia, PA 19123-1427
Manoj George Oommen General Practice Excel Medical Center 521 W Girard Ave, Philadelphia, PA 19123-1428
Margaret Oduro Nurse Practitioner Excel Medical Center 521 W Girard Ave, Philadelphia, PA 19123-1428
Christine Supplee Nurse Practitioner Excel Medical Center 521 W Girard Ave, Philadelphia, PA 19123-1428
Find all physicians in zip 19123

Competitor

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City PHILADELPHIA
Zip Code 19123
Specialty NURSE PRACTITIONER
City + Specialty PHILADELPHIA + NURSE PRACTITIONER

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Dataset Information

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.

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