Jami Davis-jackson (NPI# 1629243886, PAC ID# 7810050804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1629243886 |
| PAC ID by PECOS | 7810050804 |
| Professional Enrollment ID | I20120521000125 |
| Full Name | Jami Davis-jackson |
| Organization Legal Name | GRANITE CITY HOSPITALIST SERVICES LLC |
| Address |
2100 Madison Ave Granite City IL 62040-4713 |
| Phone Number | 6188331691 |
| Gender | F |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527356591 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2100 Madison Ave, Granite City, IL 62040-4713 | 6188331691 | GRANITE CITY HOSPITALIST SERVICES LLC |
| Organization Legal Name | GRANITE CITY HOSPITALIST SERVICES LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Kuria | Nurse Practitioner | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Brian J Reach | Family Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Zeeshan Naseer Ahmad | Internal Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Timothy Hipskind | Internal Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Jose Daniel Perez Porcel | Internal Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Robert J Mulloy | Nurse Practitioner | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Sonda Rena Johnson | Nurse Practitioner | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Christal Scott | Physician Assistant | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Pamela K Hunter-reach | Emergency Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Marianne Torbert | Nurse Practitioner | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Street Address |
2100 MADISON AVE |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-4713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria A Cullen | Clinical Social Worker | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Saulius Kalvaitis | Cardiac Electrophysiology | Cardiac Cin of St Louis LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Kevin Kuria | Nurse Practitioner | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Serge Marinkovic | Urology | Granite City Clinic Corp | 2100 Madison Ave, Suite 201, Granite City, IL 62040-4713 |
| Brian J Reach | Family Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Anahit Singh Cheema | Nephrology | Inderjit Singh Md Facp LLC | 2100 Madison Ave, Granite City, IL 62040-4701 |
| Jeffrey L Grassle | Emergency Medicine | Granite City Emergency Medicine Providers LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Boris Khariton | Physical Medicine and Rehabilitation | 2100 Madison Ave, Granite City, IL 62040-4701 | |
| Zeeshan Naseer Ahmad | Internal Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Timothy Hipskind | Internal Medicine | Granite City Hospitalist Services LLC | 2100 Madison Ave, Granite City, IL 62040-4713 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Danielle Homan | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GRANITE CITY + NURSE PRACTITIONER |
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| 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.