Jeffrey Yngstrom (NPI# 1902844756, PAC ID# 2365475894) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1902844756 |
| PAC ID by PECOS | 2365475894 |
| Professional Enrollment ID | I20070118000367 |
| Full Name | Jeffrey Yngstrom |
| Organization Legal Name | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Address |
416 E Maumee St Angola IN 46703-2015 |
| Phone Number | 2606652141 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294624060 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150146 | PARKVIEW NOBLE HOSPITAL |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| 150091 | PARKVIEW HUNTINGTON HOSPITAL |
| 151310 | PARKVIEW WABASH HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 416 E Maumee St, Angola, IN 46703-2015 | 2606652141 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 416 E Maumee St, Cameron Memorial Community Hospital, Angola, IN 46703-2015 | 8009429583 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 104 Nicholas Place, Avilla, IN 46710-0069 | 2608973308 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2602661000 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2603734000 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 90% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 97% |
| Organization Legal Name | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Michael Gregory | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1355 Mariners Dr, Warsaw, IN 46582-7145 |
| Christopher Michael Wing | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Benjamin J Moreno | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Melissa Sue Bosma | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 433 W High St, Bryan, OH 43506-1679 |
| William Cohee Petty | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Matthew W Hasselman | Physician Assistant | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Brad M Johnston | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Mitchell E Travis | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 |
| David Keith Powell | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 416 E Maumee St, Angola, IN 46703-2015 |
| Ronald J Douglas | Physician Assistant | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Street Address |
416 E MAUMEE ST |
| City | ANGOLA |
| State | IN |
| Zip | 46703-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert V Emilian | Emergency Medicine | Professional Emergency Physicians PC | 416 E Maumee St, Angola, IN 46703-2015 |
| Thomas D Huntington | Emergency Medicine | Professional Emergency Physicians PC | 416 E Maumee St, Angola, IN 46703-2015 |
| Thomas L Miller | Family Medicine | Cameron Memorial Community Hospital Inc | 416 E Maumee St, Angola, IN 46703-2015 |
| David Keith Powell | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 416 E Maumee St, Angola, IN 46703-2015 |
| Anne E Reitz | Nurse Practitioner | Cameron Memorial Community Hospital Inc | 416 E Maumee St, Angola, IN 46703-2015 |
| Brandy M German | Nurse Practitioner | Cameron Memorial Community Hospital Inc | 416 E Maumee St, Angola, IN 46703-2015 |
| John D Reed Jr. | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 416 E Maumee St, Angola, IN 46703-2015 |
| Amanda L Hasselman | Nurse Practitioner | Hospital Care Group PC | 416 E Maumee St, Angola, IN 46703-2015 |
| Taryn D Kaiser | Nurse Practitioner | Cameron Memorial Community Hospital Inc | 416 E Maumee St, Angola, IN 46703-2015 |
| Thomas Sarosi | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 416 E Maumee St, Angola, IN 46703-2015 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew T Stevens | Chiropractic | 903 Williams St, Angola, IN 46703-1167 | |
| Sherri L Welch | Clinical Social Worker | 909 W Maumee St, Suite A, Angola, IN 46703-1346 | |
| Brian Magwire | Optometry | 407 W Maumee St, Angola, IN 46703-1428 | |
| Dimosthenis Dafnis | Neurology | 409 W Maumee St, Angola, IN 46703-1428 | |
| Jonathan E Alley | Family Medicine | 424 Williams St, Angola, IN 46703-1556 | |
| Thomas W Dumas | Otolaryngology | Ear, Nose and Throat Associates, PC | 424 Williams St, Angola, IN 46703-1556 |
| Naveen Lal | Cardiovascular Disease (cardiology) | Allen County Cardiology, LLC | 424 Williams St, Allen County Cardiology, Angola, IN 46703-1556 |
| Louis A Lopez | Cardiovascular Disease (cardiology) | Allen County Cardiology, LLC | 424 Williams St, Allen County Cardiology, Angola, IN 46703-1556 |
| Jennifer C Graber | Qualified Audiologist | Ear, Nose and Throat Associates, PC | 424 Williams St, Angola, IN 46703-1556 |
| Craig W Dunlap | Optometry | Visionary Inc | 204 S Wayne St, Angola, IN 46703-1937 |
| Find all physicians in zip 46703 | |||
| City | ANGOLA |
| Zip Code | 46703 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ANGOLA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey Yngstrom.
| 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.