Jon E Dornacker (NPI# 1801804588, PAC ID# 2466400312) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1801804588 |
PAC ID by PECOS | 2466400312 |
Professional Enrollment ID | I20050106000874 |
Full Name | Jon E Dornacker |
Organization Legal Name | GARRISON MEMORIAL HOSPITAL |
Address |
437 3rd Ave Se Garrison ND 58540-7235 |
Phone Number | 7014632275 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
Graduation Year | 2002 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | GENERAL SURGERY |
Group Practice PAC ID | 0143206946 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
351303 | GARRISON MEMORIAL HOSPITAL |
350002 | CHI ST ALEXIUS HEALTH |
Address | Phone | Organization |
---|---|---|
437 3rd Ave Se, Garrison, ND 58540-7235 | 7014632275 | GARRISON MEMORIAL HOSPITAL |
Organization Legal Name | GARRISON MEMORIAL HOSPITAL |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Arthur J Renner | Physician Assistant | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Forrest L Hirsch | Nurse Practitioner | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Cassandra B Haider | Nurse Practitioner | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Luanna Graeber | Physician Assistant | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Street Address |
437 3RD AVE SE |
City | GARRISON |
State | ND |
Zip | 58540-7235 |
Name | Specialty | Organization | Address |
---|---|---|---|
Arthur J Renner | Physician Assistant | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Forrest L Hirsch | Nurse Practitioner | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Cassandra B Haider | Nurse Practitioner | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Luanna Graeber | Physician Assistant | Garrison Memorial Hospital | 437 3rd Ave Se, Garrison, ND 58540-7235 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan P Turck | Chiropractic | 172 N Main St, Garrison, ND 58540-0786 | |
Hedi Rime | Nurse Practitioner | Trinity Health | 131 N Main St, Garrison, ND 58540-7170 |
Farzodd E Hanjani | Diagnostic Radiology | Trinity Health | 131 N Main St, Garrison, ND 58540-7170 |
Aaron J Albers | Podiatry | Trinity Health | 131 N Main St, Garrison, ND 58540-7170 |
Jerane A Forsberg | Physician Assistant | Trinity Health | 131 N Main St, Garrison, ND 58540-7170 |
Samir M Turk | Cardiovascular Disease (cardiology) | Trinity Health | 131 N Main St, Garrison, ND 58540-7170 |
City | GARRISON |
Zip Code | 58540 |
Specialty | FAMILY MEDICINE |
City + Specialty | GARRISON + FAMILY MEDICINE |
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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.