David Alan Hornback (NPI# 1790770964, PAC ID# 2860419769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1790770964 |
PAC ID by PECOS | 2860419769 |
Professional Enrollment ID | I20051031000306 |
Full Name | David Alan Hornback |
Organization Legal Name | BEACON MEDICAL GROUP INC |
Address |
615 N Michigan St Fl 1 Beacon Medical Group Oncology Sb South Bend IN 46601-1033 |
Phone Number | 5746471100 |
Gender | M |
Credential | MD |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1988 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 1254243306 |
Number of Group Practice Members | 331 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150058 | MEMORIAL HOSPITAL OF SOUTH BEND |
Address | Phone | Organization |
---|---|---|
615 N Michigan St Fl, 1 Beacon Medical Group Oncology Sb, South Bend, IN 46601-1033 | 5746471100 | BEACON MEDICAL GROUP INC |
Organization Legal Name | BEACON MEDICAL GROUP INC |
Physicians | 364 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nizar Fayez Olabi | Obstetrics/gynecology | Beacon Medical Group Inc | 1215 Lawn Ave, Suite 100, Elkhart, IN 46514-2450 |
Mayank K Mittal | Interventional Cardiology | Beacon Medical Group Inc | 610 N Michigan St, 400 Bmg Adv Cardiology Specialists, South Bend, IN 46601-1081 |
John A Whitney | Family Medicine | Beacon Medical Group Inc | 2235 Cleveland Rd, South Bend, IN 46628-3529 |
Nicholas H Kerr | Hospice/palliative Care | Beacon Medical Group Inc | 1753 Fulton St, Elkhart, IN 46514-1927 |
Amanda L Springer | Family Medicine | Beacon Medical Group Inc | 1815 E Ireland Rd, Beacon Medical Group Ireland Rd, South Bend, IN 46614-2845 |
Oluyinka G Osunnuga | Nurse Practitioner | Beacon Medical Group Inc | 5314 Lincolnway E, Bmg Specialties Mishawaka, Mishawaka, IN 46544-4249 |
Lana L Evans | Nurse Practitioner | Beacon Medical Group Inc | 207 N Elkhart St, Beacon Medical Group Wakarusa, Wakarusa, IN 46573-9729 |
Lindsey Danielle Lira | Family Medicine | Beacon Medical Group Inc | 27082 Main St, Edwardsburg, MI 49112-9334 |
Mercedes D Moran | Certified Nurse Midwife | Beacon Medical Group Inc | 813 S Michigan St, Memorial Neighborhood Health Center, South Bend, IN 46601-3102 |
Beth A Hayden | Nurse Practitioner | Beacon Medical Group Inc | 900 I St, La Porte, IN 46350-5533 |
Street Address |
615 N MICHIGAN ST FL 1 BEACON MEDICAL GROUP ONCOLOGY SB |
City | SOUTH BEND |
State | IN |
Zip | 46601-1033 |
Name | Specialty | Organization | Address |
---|---|---|---|
Russell Frederick Johnson | Radiation Oncology | Beacon Medical Group Inc | 615 N Michigan St Fl, 1 Beacon Medical Group Oncology Sb, South Bend, IN 46601-1033 |
Dale Alan Patterson | Family Medicine | Beacon Medical Group Inc | 615 N Michigan St Fl, South Bend, IN 46601-1033 |
Angela C Herman | Hematology/oncology | Beacon Medical Group Inc | 615 N Michigan St Fl, 6 Pediatric Hematology/oncology, South Bend, IN 46601-1033 |
Asad Ansari | Pediatric Medicine | Beacon Medical Group Inc | 615 N Michigan St Fl, South Bend, IN 46601-1033 |
Monika Niemiec | Internal Medicine | Beacon Medical Group Inc | 615 N Michigan St Fl, 1 Bmg Hospital Specialties, South Bend, IN 46601-1033 |
Shelby L Towner | Nurse Practitioner | Beacon Medical Group Inc | 615 N Michigan St Fl, 1 Bmg Hospital Specialties, South Bend, IN 46601-1033 |
Nonyem A Onujiogu | Gynecological Oncology | Beacon Medical Group Inc | 615 N Michigan St Fl, South Bend, IN 46601-1033 |
Dayna M Cox | Obstetrics/gynecology | Beacon Medical Group Inc | 615 N Michigan St Fl, South Bend, IN 46601-1033 |
Nycole Wells | Internal Medicine | Beacon Medical Group Inc | 615 N Michigan St Fl, 1 Bmg Hospital Specialties, South Bend, IN 46601-1033 |
Edward J Durbin | Obstetrics/gynecology | Beacon Medical Group Inc | 615 N Michigan St Fl, South Bend, IN 46601-1033 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly W Mcguire | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Patrick J Brand | Qualified Audiologist | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Sara Baumgartner | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Edward P Delle Donne | Colorectal Surgery (proctology) | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Zhiquan Zhao | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Shannon Luczak | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Cheryl Ann Stahl | Nurse Practitioner | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Daniel F Czarnecki | Obstetrics/gynecology | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Michael C Rotkis | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Luis Alfonso Benavente Chenhalls | General Surgery | Allied Physicians of Michiana, LLC | 515 N Lafayette Blvd, Michiana Obstetrics and Gynecology, South Bend, IN 46601-1003 |
Find all physicians in zip 46601 |
City | SOUTH BEND |
Zip Code | 46601 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | SOUTH BEND + RADIATION ONCOLOGY |
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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.