Vladimir Petorak Jr. (NPI# 1871575134, PAC ID# 0648249243) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1871575134 |
| PAC ID by PECOS | 0648249243 |
| Professional Enrollment ID | I20040930000293 |
| Full Name | Vladimir Petorak Jr. |
| Organization Legal Name | EVANGELICAL MEDICAL SERVICES ORGANIZATION |
| Address |
90 Medical Park Dr Lewisburg PA 17837-6343 |
| Phone Number | 5705242722 |
| Gender | M |
| Credential | MD |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 9133033087 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390013 | EVANGELICAL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Hospital Dr, Lewisburg, PA 17837-9350 | EVANGELICAL MEDICAL SERVICES ORGANIZATION | |
| 3 Hospital Dr, Suite 318, Lewisburg, PA 17837-8909 | 5705229771 | EVANGELICAL MEDICAL SERVICES ORGANIZATION |
| 90 Medical Park Dr, Lewisburg, PA 17837-6343 | 5705242722 | EVANGELICAL MEDICAL SERVICES ORGANIZATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 88% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 16% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 62% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 11% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 28% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 93% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 56% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EVANGELICAL MEDICAL SERVICES ORGANIZATION |
| Physicians | 148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Dock | Nurse Practitioner | Evangelical Medical Services Organization | 412 W Market St, Middleburg, PA 17842-1076 |
| Brian T Michaluk | Family Medicine | Evangelical Medical Services Organization | 964 Carpenter Rd, Milton, PA 17847-7527 |
| Jennifer M Santo | Physician Assistant | Evangelical Medical Services Organization | 98 Reitz Blvd, Lewisburg, PA 17837-9270 |
| Katherine Ann Kudrick | Physician Assistant | Evangelical Medical Services Organization | 7095 Westbranch Hwy, Suite 1000, Lewisburg, PA 17837-6808 |
| Phillip Robert Peterson | Emergency Medicine | Evangelical Medical Services Organization | 1 Hospital Dr, Lewisburg, PA 17837-9350 |
| Charles Louis Cole Jr. | Orthopedic Surgery | Evangelical Medical Services Organization | 435 River Ave, Williamsport, PA 17701-3722 |
| Krystal G Strazik | Qualified Audiologist | Evangelical Medical Services Organization | 25 Lystra Rogers Dr, Lewisburg, PA 17837-8807 |
| Karen Ann Dohl | Physician Assistant | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| James C Hornberger | Physician Assistant | Evangelical Medical Services Organization | 1 Hospital Dr, Lewisburg, PA 17837-9350 |
| Zeshan Anwar | Internal Medicine | Evangelical Medical Services Organization | 3 Hospital Dr, Suite 318, Lewisburg, PA 17837-8909 |
| Street Address |
90 MEDICAL PARK DR |
| City | LEWISBURG |
| State | PA |
| Zip | 17837-6343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Ann Dohl | Physician Assistant | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| Nicholas A Inverso | Gastroenterology | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| Joseph Brunda Gallagher | Gastroenterology | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| Hillarie A Hartzell | Physician Assistant | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| Kimberly J Criswell | Registered Dietitian Or Nutrition Professional | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| Georgina A Ferriero | Physician Assistant | Evangelical Medical Services Organization | 90 Medical Park Dr, Lewisburg, PA 17837-6343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Forrest James Mclean | Clinical Social Worker | Diakon Child Family and Community Ministries | 1800 W Market St, Diakon Family Life Services, Lewisburg, PA 17837-1236 |
| William G Krieger | Psychologist, Clinical | Diakon Child Family and Community Ministries | 1800 W Market St, Diakon Family Life Services, Lewisburg, PA 17837-1236 |
| Milagros P Buenaventura | Psychiatry | Diakon Child Family and Community Ministries | 1800 W Market St, Diakon Family Life Services, Lewisburg, PA 17837-1236 |
| Dianna Michelle Banks | Psychologist, Clinical | 23 N Derr Dr, Suite 26, Lewisburg, PA 17837-1324 | |
| Richard A Bechtel | Optometry | Bernstein, Hilliker, Hartzell Eye Center, LLP | 408 Market St, Lewisburg, PA 17837-1422 |
| Adam Wolfe | Physical Therapy | Pivot Physical Therapy of Pennsylvania LLC | 815 Market St, Lewisburg, PA 17837-1455 |
| Patricia E Piper-smyer | Psychologist, Clinical | 424 /2 Market St, Lewisburg, PA 17837-1495 | |
| Clarinda Dela Cruz Sciulara | Occupational Therapy | Procare Physical Therapy Inc | 328 Market St, Lewisburg, PA 17837-1497 |
| Krista L Brown | Occupational Therapy | Procare Physical Therapy Inc | 328 Market St, Lewisburg, PA 17837-1497 |
| Lonni L Ernst Dancy | Chiropractic | 114 Market St, Lewisburg, PA 17837-1542 | |
| Find all physicians in zip 17837 | |||
| City | LEWISBURG |
| Zip Code | 17837 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | LEWISBURG + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Vladimir Petorak Jr..
| 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.