Jessia Ittiara
Medical Specialty
Professional ID
- NPI: 1912081928
- PECOS ID: 3476501719
- Enrollment ID: I20050104000479
- Credential(MD, DO, DPM): PA
- Medical School:
- Medical School Graduation Year: 2000
Hospital Service
- Hospital CCN1: 230156
- Business Name (LBN)1: St Joseph Mercy Hospital
Medical Practices
- Organization Name: Michigan Pain Institute, Pc
- Group Practice ID assigned by PECOS: 0941292239
- Number of Group Practice member: 15
Location
- Address1: 205 N E Ave
- Address2:
- City: Jackson
- State: Michigan
- Zip Code: 49201
- Phone Number: (517)788-4841
Location
- Address1: 5301 Mcauley Dr
- Address2:
- City: Ypsilanti
- State: Michigan
- Zip Code: 48197
- Phone Number: (734)712-7246
Location
- Address1: 7575 Grand River Rd
- Address2:
- City: Brighton
- State: Michigan
- Zip Code: 48114
- Phone Number: (810)844-7703
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):