Edward Doran (NPI# 1285622340, PAC ID# 3678580735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1285622340 |
| PAC ID by PECOS | 3678580735 |
| Professional Enrollment ID | I20060316000078 |
| Full Name | Edward Doran |
| Organization Legal Name | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| Address |
1310 Maple Dr Peru IL 61354-1361 |
| Phone Number | 8152231666 |
| Gender | M |
| Credential | MD |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 9739148115 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141337 | PERRY MEMORIAL HOSPITAL |
| 140234 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| 140143 | ST MARGARETS HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1310 Maple Dr, Peru, IL 61354-1361 | 8152231666 | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| 530 Park Ave E, Princeton, IL 61356-3901 | 8158758666 | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| Organization Legal Name | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Flanagan | Certified Clinical Nurse Specialist (cns) | Associated Gastroenterology Consultants Inc | 1304 Gemini Cir, Suite 1, Ottawa, IL 61350-1690 |
| Angela Massutti | Nurse Practitioner | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Geetha Dodda | Internal Medicine | Associated Gastroenterology Consultants Inc | 1310 Maple Dr, Peru, IL 61354-1361 |
| Vishnu Naravadi | Gastroenterology | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Jenny L Gaworski | Nurse Practitioner | Associated Gastroenterology Consultants Inc | 1304 Gemini Cir, Suite 1, Ottawa, IL 61350-1690 |
| Melissa S Mclain | Nurse Practitioner | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Kristie L Shin | Physician Assistant | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Street Address |
1310 MAPLE DR |
| City | PERU |
| State | IL |
| Zip | 61354-1361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geetha Dodda | Internal Medicine | Associated Gastroenterology Consultants Inc | 1310 Maple Dr, Peru, IL 61354-1361 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dotun I Oyedijo | Radiation Oncology | 4391 Venture Dr, Peru, IL 61354-1018 | |
| Joseph B Jackson | Optometry | Jak Enterprises Inc | 3323 Frontage Rd, Peru, IL 61354-1101 |
| David J Coynik | Dermatology | David J Coynik, Md,pc | 4413 Progress Blvd, Peru, IL 61354-1109 |
| Dale R Chilson | Otolaryngology | St. Margarets Hospital | 4040 Progress Blvd, Peru, IL 61354-1124 |
| Katrina Mcquilkin | Chiropractic | 3815 Progress Blvd, Suite C, Peru, IL 61354-1188 | |
| Bulent Mamikoglu | Otolaryngology | 4231 Progress Blvd, Suite 2, Peru, IL 61354-1193 | |
| Rakesh K Garg | Neurology | 4231 Progress Blvd, Peru, IL 61354-1193 | |
| Angela Benavides | Neurology | St. Margarets Hospital | 1400 Midtown Plaza, Peru, IL 61354-1269 |
| Lacey M Strack | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Rachel L Colby | Physician Assistant | St. Margarets Hospital | 1650 Midtown Rd, Peru, IL 61354-1274 |
| Find all physicians in zip 61354 | |||
| City | PERU |
| Zip Code | 61354 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PERU + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edward Doran.
| 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.