Jaclyn M Ireland, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

6620 Fly Rd
Suite 200
East Syracuse, NY 13057-9791

Phone

(315) 464-4472

Fax

(315) 464-5222

NPI assigned

Aug 30, 2013

Last updated

Aug 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central New York Brain and Spine Neurosurgery PLLCGroup PAC ID 9830453513, 11 clinicians

Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians

Hamilton Medical Services PLLCGroup PAC ID 6608091400, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jireland@cmhhamilton.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393
  Medicare reassignment Care Compare group NPD
• Central New York Brain & Spine Neurosurgery PLLC

  • Neurological Surgery Physician
  • New Hartford, NY
  • NPI 1174039929
  Medicare reassignment Care Compare group
• Hamilton Medical Services PLLC

  • Family Medicine Physician
  • Hamilton, NY
  • NPI 1235566100
  Medicare reassignment Care Compare group
• Upstate Orthopedics, LLP

  • Orthopaedic Surgery Physician
  • East Syracuse, NY
  • NPI 1740228311
  Medicare reassignment NPD
• Upstate Orthopedics, LLP

  • Durable Medical Equipment & Medical Supplies
  • Camillus, NY
  • NPI 1871290445
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Hospital

  Care Compare affiliation
• Community Memorial Hospital

  • Critical Access Hospital
  • Hamilton, NY
  • NPI 1992707608
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1942634522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 FLY RD",
            "address_2": "SUITE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579791",
            "telephone_number": "315-464-4472",
            "fax_number": "315-464-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 FLY RD",
            "address_2": "SUITE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579791",
            "telephone_number": "315-464-4472",
            "fax_number": "315-464-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "JACLYN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperium Healthcare Consulting LLC
• Rebecca Infante, ATC, MST
• Integrative Family Health Haven East RN NP in Family Health PLLC
• Natalya Iorio, M.D.
• Intikhab Iqbal, M.D.
• Michael Iuliano
• J Waligora Audiology PC
• Elaine Jablonka, RN, CDE
• Ann Elizabeth Jaconski, SLP
• Emily Laura Januseski, MPH, RD, CDN, CSO

• Surgical Physician Assistant in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.