Christina M Mcdorman (NPI# 1588135636, PAC ID# 0143653733) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1588135636 |
PAC ID by PECOS | 0143653733 |
Professional Enrollment ID | I20191212002203 |
Full Name | Christina M Mcdorman |
Organization Legal Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
Address |
327 Edward St Henry IL 61537-1539 |
Phone Number | 3093642002 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1153312798 |
Number of Group Practice Members | 31 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
141337 | PERRY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
327 Edward St, Henry, IL 61537-1539 | 3093642002 | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
Organization Legal Name | JULIA RACKLEY PERRY MEMORIAL HOSPITAL |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mukund P Godbole | General Surgery | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
James M Matheu | Family Medicine | Julia Rackley Perry Memorial Hospital | 2128 N Main St, Princeton, IL 61356-9728 |
Scott A Cooper | Emergency Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Timothy Allen Pratt | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Ariel E Pozzi | Clinical Social Worker | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Amanda M Mcguire | Podiatry | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
John F Ibrahim | Internal Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Abby R Vladika | Nurse Practitioner | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Allen U Van | Orthopedic Surgery | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Arnold L Faber | Family Medicine | Julia Rackley Perry Memorial Hospital | 530 Park E Ave, Princeton, IL 61356-3901 |
Street Address |
327 EDWARD ST |
City | HENRY |
State | IL |
Zip | 61537-1539 |
City | HENRY |
Zip Code | 61537 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HENRY + NURSE PRACTITIONER |
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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.