John E Lomax (NPI# 1417923517, PAC ID# 0547274482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1417923517 |
| PAC ID by PECOS | 0547274482 |
| Professional Enrollment ID | I20060131000588 |
| Full Name | John E Lomax |
| Organization Legal Name | SODERSTROM DERMATOLOGY CENTER S C |
| Address |
4909 N Glen Park Place Rd Peoria IL 61614-4676 |
| Phone Number | 3096747546 |
| Gender | M |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 2062432651 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 | 3096747546 | SODERSTROM DERMATOLOGY CENTER S C |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 89% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 76% |
| Organization Legal Name | SODERSTROM DERMATOLOGY CENTER S C |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nour Almardini | Pathology | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| James M Jeffries Iii | Plastic and Reconstructive Surgery | Soderstrom Dermatology Center S C | 60 S Soangetaha Rd, Galesburg, IL 61401-7524 |
| Carl W Soderstrom Jr. | Dermatology | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Stuart H Berryman | Physician Assistant | Soderstrom Dermatology Center S C | 2200 Marquette Rd, Peru, IL 61354-1547 |
| Carissa L Pardekooper | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Joy M Watson | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Chen Wang | Pathology | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| Jennifer G Tomelden | Physician Assistant | Soderstrom Dermatology Center S C | 2200 Marquette Rd, Peru, IL 61354-1547 |
| Michelle L Roth | Physician Assistant | Soderstrom Dermatology Center S C | 60 S Soangetaha Rd, Galesburg, IL 61401-7524 |
| Katherine E Shindelar | Physician Assistant | Soderstrom Dermatology Center S C | 2315 Roosevelt St, Clinton, IA 52732-2412 |
| Street Address |
4909 N GLEN PARK PLACE RD |
| City | PEORIA |
| State | IL |
| Zip | 61614-4676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nour Almardini | Pathology | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| Chen Wang | Pathology | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| Laurence M Bradley | Dermatology | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| Sara R Snarr | Nurse Practitioner | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| John R Soderstrom | Physician Assistant | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| Joshua B Kentosh | Dermatology | Soderstrom Dermatology Center S C | 4909 N Glen Park Place Rd, Peoria, IL 61614-4676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Michael Pepperell | Chiropractic | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | |
| Caleb O Johnson | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Lance A Reiman | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| Caitlin Marie Pribble | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 3531 Willow Knolls Dr, Peoria, IL 61614-1078 |
| James L Swingler | Obstetrics/gynecology | 7501 N University St, Suite 113, Peoria, IL 61614-1234 | |
| Christine A Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Kyle J Haynes | Chiropractic | Haynes Family Chiropractic Inc | 1921 W Willow Knolls Dr, Suite D, Peoria, IL 61614-1243 |
| Christine Marie Fletcher | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Danila L Mcasey | Qualified Speech Language Pathologist | Speech and Language Rehabilitation Service Ltd | 2001 W Willow Knolls Dr, Suite 106, Peoria, IL 61614-1262 |
| Keith A Kramer | Chiropractic | Kramer Chiropractic and Acupuncture | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 |
| Find all physicians in zip 61614 | |||
| City | PEORIA |
| Zip Code | 61614 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | PEORIA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on John E Lomax.
| 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.