Lasandra Denise Jackson (NPI# 1356429674, PAC ID# 8426040882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1356429674 |
| PAC ID by PECOS | 8426040882 |
| Professional Enrollment ID | I20070307000205 |
| Full Name | Lasandra Denise Jackson |
| Organization Legal Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Address |
125 Hospital Ctr Blvd Suite 309 Stafford VA 22554-6204 |
| Phone Number | 5406576367 |
| Gender | F |
| Credential | MD |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 1997 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2769546530 |
| Number of Group Practice Members | 174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490140 | STAFFORD HOSPITAL, LLC |
| Address | Phone | Organization |
|---|---|---|
| 125 Hospital Ctr Blvd, Suite 309, Stafford, VA 22554-6204 | 5406576367 | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Organization Legal Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Physicians | 154 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Alice Argo | Nurse Practitioner | Mary Washington Healthcare Physicians | 11 Smokehouse Dr, Suite 101, Fredericksburg, VA 22406-8455 |
| Teresa Kerge | Physical Medicine and Rehabilitation | Mary Washington Healthcare Physicians | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 |
| Agostino Visioni | Neurosurgery | Mary Washington Healthcare Physicians | 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4466 |
| Maurice Stephen Mandell Jr. | Internal Medicine | Mary Washington Healthcare Physicians | 121 Courthouse Ln, Bowling Green, VA 22427-9336 |
| Stephani C Lowery | Nurse Practitioner | Mary Washington Healthcare Physicians | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Carol Campbell | Nurse Practitioner | Mary Washington Healthcare Physicians | 8051 Prosperity Way, Suite 100, Ruther Glen, VA 22546-5812 |
| Victoria E Grady | Internal Medicine | Mary Washington Healthcare Physicians | 10620 Spotsylvania Ave, Fredericksburg, VA 22408-2637 |
| Bhavin S Suthar | Interventional Pain Management | Mary Washington Healthcare Physicians | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 |
| Carol A Keenan | Physical Therapy | Mary Washington Healthcare Physicians | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 |
| Rosier D Dedwylder | Family Medicine | Mary Washington Healthcare Physicians | 16463 Dahlgren Rd, King George, VA 22485-5810 |
| Street Address |
125 HOSPITAL CTR BLVD SUITE 309 |
| City | STAFFORD |
| State | VA |
| Zip | 22554-6204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kiyanda Baldwin | Colorectal Surgery (proctology) | Mary Washington Healthcare Physicians | 125 Hospital Ctr Blvd, Suite 309, Stafford, VA 22554-6204 |
| Nora Michelle Balke | Nurse Practitioner | Virginia Cardiovascular Consultants PC | 125 Hospital Ctr Blvd, Stafford, VA 22554-6204 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Edward Bryngelson | Chiropractic | 147 Garrisonville Rd, Stafford, VA 22554-1523 | |
| Steven M Chado | Optometry | Family Optometric Associates PC | 217 Garrisonville Rd, Stafford, VA 22554-1527 |
| Timothy L Edwards | Optometry | Family Optometric Associates PC | 217 Garrisonville Rd, Stafford, VA 22554-1527 |
| Carolina Hernandez | Internal Medicine | 450 Garrisonville Rd, Suite 215, Stafford, VA 22554-1532 | |
| Anjela Shrestha | Nurse Practitioner | Advanced Spine and Pain Pllc | 450 Garrisonville Rd, Suite 109, Stafford, VA 22554-1532 |
| Claudine N Dupont | Podiatry | Rappahannock Foot and Ankle Specialists Plc | 450 Garrisonville Rd, Suite 115, Stafford, VA 22554-1532 |
| Amie K Williams | Physical Therapy | Advanced Spine and Pain Pllc | 450 Garrisonville Rd, Stafford, VA 22554-1532 |
| Yvonne M Villarreal | Family Medicine | Embracing Health, Inc. | 385 Garrisonville Rd, Suite 211, Stafford, VA 22554-1545 |
| Russell W Williams | Family Medicine | Stafford Urgent Care Inc | 422 Garrisonville Rd, Suite 111, Stafford, VA 22554-1573 |
| James Desimone | Internal Medicine | 422 Garrisonville Rd, Suite 108, Stafford, VA 22554-1573 | |
| Find all physicians in zip 22554 | |||
| City | STAFFORD |
| Zip Code | 22554 |
| Specialty | GENERAL SURGERY |
| City + Specialty | STAFFORD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Lasandra Denise 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.