Jacqueline Weaver (NPI# 1902946890, PAC ID# 8022030691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1902946890 |
| PAC ID by PECOS | 8022030691 |
| Professional Enrollment ID | I20051222000679 |
| Full Name | Jacqueline Weaver |
| Organization Legal Name | ALBANY MEDICAL COLLEGE |
| Address |
115 Saratoga Rd Suite 110 Glenville NY 12302-4210 |
| Phone Number | 5182642900 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1759293111 |
| Number of Group Practice Members | 781 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330180 | SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4210 | 5182642900 | ALBANY MEDICAL COLLEGE |
| Organization Legal Name | ALBANY MEDICAL COLLEGE |
| Physicians | 870 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valencia D Guillaume | Physician Assistant | Albany Medical College | 329 Glenmont Rd, Glenmont, NY 12077-3469 |
| Sarah L Buhelt | Physician Assistant | Albany Medical College | 730 Hoosick Rd, Troy, NY 12180-8777 |
| Waseem Amjad | Internal Medicine | Albany Medical College | 178 Washington Ave Ext, Albany, NY 12203-5304 |
| Maria K Brown | Physician Assistant | Albany Medical College | 1250 Riverfront Ctr, Suite 240, Amsterdam, NY 12010-4602 |
| Anthony S Locascio | Physician Assistant | Albany Medical College | 2976 Route 9w, Saugerties, NY 12477-5234 |
| Morgan Quinn Desa | Nurse Practitioner | Albany Medical College | 98 Wolf Rd, Suite 16, Albany, NY 12205-1226 |
| Sarah K.k Sokil | Pediatric Medicine | Albany Medical College | 100 Great Oaks Blvd, Albany, NY 12203-7919 |
| Emily Micca | Physician Assistant | Albany Medical College | 11835 Rt, 9w, West Coxsackie, NY 12192-3605 |
| Donald Neil Brownell | Physician Assistant | Albany Medical College | 47 New Scotland Ave Mc, Suite 162, Albany, NY 12208-3412 |
| Erin G Deeb | Physician Assistant | Albany Medical College | 7 Price Chopper Plz, Mechanicville, NY 12118-1250 |
| Street Address |
115 SARATOGA RD SUITE 110 |
| City | GLENVILLE |
| State | NY |
| Zip | 12302-4210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina Sun | Internal Medicine | Ellis Hospital | 115 Saratoga Rd, Glenville, NY 12302-4211 |
| Dana Gallacchi | Nurse Practitioner | Ellis Hospital | 115 Saratoga Rd, Glenville, NY 12302-4211 |
| Ryan S Marshall | Nurse Practitioner | Albany Medical College | 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4210 |
| Jack E Redding | Physician Assistant | Albany Medical College | 115 Saratoga Rd, Glenville, NY 12302-4210 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Slome | Psychiatry | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Christopher J Davis | General Practice | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Mohammad H Kabir | Internal Medicine | Conifer Park Inc | 1 Cottage, Glenville, NY 12302 |
| Ahmad A Sultan | Physical Medicine and Rehabilitation | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| Sharon L Lyng | Nurse Practitioner | Baptist Health Nursing and Rehabilitation Center Inc | 297 N Ballston Ave, Scotia, NY 12302-2427 |
| David J Cerniglia | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| Amanda J Hodder | Chiropractic | 25 Mohawk Ave, Schenectady, NY 12302-2563 | |
| David T Civale | Chiropractic | 1 Swaggertown Rd, Scotia, NY 12302-3249 | |
| Diane E Bonesteel | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Lisa H Sawtelle | Physical Therapy | Physical Therapy Associates of Schenectady PC | 42 Saratoga Rd, Scotia, NY 12302-3412 |
| Find all physicians in zip 12302 | |||
| City | GLENVILLE |
| Zip Code | 12302 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | GLENVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jacqueline Weaver.
| 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.