OMAR DWAYNE JACK DO, PA-C
NPI 1144662909
Student in an Organized Health Care Education/Training Program in Buffalo, NY
About Omar Dwayne Jack Do, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMAR DWAYNE JACK DO, PA-C (NPI 1144662909) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since July 2013.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BUFFALO, NY 14203
BUFFALO, NY 14203
BUFFALO, NY 14203
BUFFALO, NY 14203
BUFFALO, NY 14203
BUFFALO, NY 14203
BUFFALO, NY 14203
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Omar Jack's NPI number?
The NPI number for Omar Jack is 1144662909. It was assigned to this individual provider in the NPPES registry on July 22, 2013.
Where is Omar Jack located?
Omar Jack practices at 77 Goodell St Ste 550, Buffalo, NY 14203. The listed phone number is (716) 829-6108.
What is Omar Jack's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Omar Jack was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Omar Dwayne Jack, DO, PA-C · NPI 1144662909
Student in an Organized Health Care Education/Training Program provider in Buffalo, New York. Individual provider, active in the CMS NPPES registry since July 22, 2013.
## Identity
- **NPI:** 1144662909 (Entity type: Individual)
- **Enumerated:** July 22, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 77 GOODELL ST STE 550, Buffalo, NY 14203-1258
- **Phone:** (716) 829-6108
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144662909) · Data from the CMS NPPES public registry.