Randy D Balmforth (NPI# 1366642738, PAC ID# 0244480739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1366642738 |
| PAC ID by PECOS | 0244480739 |
| Professional Enrollment ID | I20130626000577 |
| Full Name | Randy D Balmforth |
| Organization Legal Name | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Address |
3333 W Deyoung St Marion IL 62959-5884 |
| Phone Number | 6189987000 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587624226 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140210 | HARRISBURG MEDICAL CENTER |
| 260105 | ST LOUIS UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3333 W Deyoung St, Marion, IL 62959-5884 | 6189987000 | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Organization Legal Name | MIDWEST RADIOLOGICAL ASSOCIATES PC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Rae Drylewicz | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Hilton I Price | Diagnostic Radiology | Midwest Radiological Associates PC | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 |
| Carrie C Morrison | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| John H Niemeyer | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Gerald J Palagallo | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Christopher O Thornton | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Mitra B Boodram | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Feraas Jabi | Diagnostic Radiology | Midwest Radiological Associates PC | 1101 W Liberty St, Farmington, MO 63640-1921 |
| Toni C Roth | Diagnostic Radiology | Midwest Radiological Associates PC | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 |
| Kevin L Shady | Diagnostic Radiology | Midwest Radiological Associates PC | 1 Memorial Dr, Alton, IL 62002-6722 |
| Street Address |
3333 W DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip | 62959-5884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladstone A Tucker | Internal Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Danuta Gwarnicka | Anesthesiology | Anesthesia Associates of Southern Illinois LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Mustafa Hindi | Hospitalist | Ess of Marion LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Todd L Engdahl | Emergency Medicine | Ess of Marion LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Joseph L Liebenrood | Certified Registered Nurse Anesthetist (crna) | Marion Hospital Corporation | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Michael J Hicks | Qualified Audiologist | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Terri L Braddock-hartman | Nurse Practitioner | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Earl Hamilton Rudolph | Internal Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Elizabeth R Eggemeyer | Certified Registered Nurse Anesthetist (crna) | Marion Hospital Corporation | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Renee B Feather | Family Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M White | Chiropractic | 1603 W Kimmel, Marion, IL 62959 | |
| Elizabeth E Lawler | Endocrinology | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Michael P Lawler | Internal Medicine | 1129 N Carbon St, Suite 3, Marion, IL 62959-1068 | |
| James T Lawler | Internal Medicine | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Shirley George | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| Aaron M Morehead | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| William P Hess Sr. | Podiatry | 1506 W Main St, Marion, IL 62959-1144 | |
| Gary S Karnes | Chiropractic | 1716 W Main, Marion, IL 62959-1148 | |
| Steven C Blandford | Chiropractic | 1716 Main St, Marion, IL 62959-1148 | |
| Mark D Whitehead | Chiropractic | 2103 W Main, Marion, IL 62959-1163 | |
| Find all physicians in zip 62959 | |||
| City | MARION |
| Zip Code | 62959 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MARION + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Randy D Balmforth.
| 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.