Jennifer M Su (NPI# 1871594218, PAC ID# 9335278753) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1871594218 |
PAC ID by PECOS | 9335278753 |
Professional Enrollment ID | I20100524000772 |
Full Name | Jennifer M Su |
Address |
2712 Plaza Dr Jefferson City MO 65109-1147 |
Gender | F |
Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260047 | CAPITAL REGION MEDICAL CENTER |
260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
Address | Phone | Organization |
---|---|---|
2712 Plaza Dr, Jefferson City, MO 65109-1147 |
Street Address |
2712 PLAZA DR |
City | JEFFERSON CITY |
State | MO |
Zip | 65109-1147 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsey M Koelling | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 3721 W Truman Boulevard, Jefferson City, MO 65109-0536 |
Eric I Vogt | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Douglas A West | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Jerry J Trulson | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Michael S Severance | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
Tanner W Coleman | Chiropractic | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
Thomas D Robbins | Family Medicine | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
Kaitlyn Belisle | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
Brian Conley | Pediatric Medicine | Ssm Regional Health Services | 3348 American Ave, Jefferson City, MO 65109-1079 |
Find all physicians in zip 65109 |
City | JEFFERSON CITY |
Zip Code | 65109 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | JEFFERSON CITY + OBSTETRICS/GYNECOLOGY |
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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.