Jack J Wilson (NPI# 1851378145, PAC ID# 8224100508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1851378145 |
| PAC ID by PECOS | 8224100508 |
| Professional Enrollment ID | I20190411001192 |
| Full Name | Jack J Wilson |
| Organization Legal Name | MONUMENT PATHOLOGISTS INC. |
| Address |
13710 St Francis Blvd Midlothian VA 23114-3267 |
| Phone Number | 8045947300 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0840260360 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 8042546000 | MONUMENT PATHOLOGISTS INC. |
| 13710 St Francis Blvd, Midlothian, VA 23114-3267 | 8045947300 | MONUMENT PATHOLOGISTS INC. |
| Organization Legal Name | MONUMENT PATHOLOGISTS INC. |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth B Hewitt | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Elaine L Flanders | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Jennifer D Lorek | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Angie Duong | Pathology | Monument Pathologists Inc. | 5801 Bremo Rd, Richmond, VA 23226-1900 |
| Clifton L Bridges Jr. | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Melissa A Burke | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Emily Elizabeth Curl | Pathology | Monument Pathologists Inc. | 5801 Bremo Rd, Richmond, VA 23226-1900 |
| Robert L Sprague | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Mark M Williams | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Zach M Ellis | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Street Address |
13710 ST FRANCIS BLVD |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23114-3267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beth B Hewitt | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Lubna Rana | Family Medicine | Hospitalist Medicine Physicians of Virginia LLC | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Edward J Vogel | Obstetrics/gynecology | Obhg Virginia LLC | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Shashi K Prabhakar | Internal Medicine | Bon Secours St Francis Medical Center Inc | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Elaine L Flanders | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Shakil A Khan | Cardiovascular Disease (cardiology) | Bon Secours St Francis Medical Center Inc | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Eric Johnson | Obstetrics/gynecology | Obhg Virginia LLC | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Mesfin A Tefera | Internal Medicine | Hospitalist Medicine Physicians of Virginia LLC | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Jennifer D Lorek | Pathology | Monument Pathologists Inc. | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Thomas J Kim | Hospitalist | Hospitalist Medicine Physicians of Virginia LLC | 13710 St Francis Blvd, Midlothian, VA 23114-3267 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya D Baca | Certified Nurse Midwife (cnm) | Dominion Women's Health, Inc. | 611 Watkins Ctr Pkwy, Suite 220, Midlothian, VA 23114 |
| James V Pellicane | General Surgery | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 |
| Ida T Vaclavik | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 |
| Neil Sreshta | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Gary L Taylor | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Polly L Stephens | General Surgery | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 |
| Courtland Edward Crenshaw | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Zachary M Dillon | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Rhonda C Sykes | Chiropractic | Chiropractic and Family Wellness PC | 13924 Coalfield Commons Pl, Suite 102, Midlothian, VA 23114-1216 |
| Tarek S Elganainy | Chiropractic | Chiropractic and Family Wellness PC | 13924 Coalfield Commons Pl, Suite 102, Midlothian, VA 23114-1216 |
| Find all physicians in zip 23114 | |||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
| Specialty | PATHOLOGY |
| City + Specialty | MIDLOTHIAN + PATHOLOGY |
Please comment or provide details below to improve the information on Jack J Wilson.
| 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.