Peter John Popovich (NPI# 1649629072, PAC ID# 4183919350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1649629072 |
| PAC ID by PECOS | 4183919350 |
| Professional Enrollment ID | I20160826001358 |
| Full Name | Peter John Popovich |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Address |
215 E 1st St Suite 101 Dixon IL 61021-3169 |
| Phone Number | 8152855973 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2016 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7911890009 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140012 | KATHERINE SHAW BETHEA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 215 E 1st St, Suite 101, Dixon, IL 61021-3169 | 8152855973 | KSB MEDICAL GROUP INC |
| 215 E 1st St, Dixon, IL 61021-3175 | KSB MEDICAL GROUP INC |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee V Murrin | Nurse Practitioner | Ksb Medical Group Inc | 305 Joe Dr W, Amboy, IL 61310-9001 |
| Perry S Damian | Family Medicine | Ksb Medical Group Inc | 1307 W Washington St, Oregon, IL 61061-1001 |
| Joyce Johnson | Family Medicine | Ksb Medical Group Inc | 102 S Hennepin Ave, Dixon, IL 61021-3013 |
| Adnan A Muhsin | Internal Medicine | Ksb Medical Group Inc | 144 N Court St, Dixon, IL 61021-1224 |
| Waseem Ahmad | Neurology | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| Jill C Obrien | Nurse Practitioner | Ksb Medical Group Inc | 405 Charles St, Mount Morris, IL 61054-1646 |
| David J Powers | General Surgery | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Saad Y Blaney | Pathology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Kyle D Swanson | Podiatry | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Russell J Bodner | Orthopedic Surgery | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Street Address |
215 E 1ST ST SUITE 101 |
| City | DIXON |
| State | IL |
| Zip | 61021-3169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Waseem Ahmad | Neurology | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| Linda K Hellmich | Psychologist, Clinical | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| John H Plescia | Family Medicine | Ksb Medical Group Inc | 215 E 1st St, Suite 101, Dixon, IL 61021-3169 |
| Alpheus T Appenheimer | Family Medicine | Ksb Medical Group Inc | 215 E 1st St, Suite 101, Dixon, IL 61021-3169 |
| Ifrah Jamil | Endocrinology | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| Thomas G Gehlbach | Pulmonary Disease | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| Ilana Seligman | Otolaryngology | Ksb Medical Group, Inc. | 215 E 1st St, Dixon, IL 60121-3166 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon J Jones Burtlow | Nurse Practitioner | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Timothy W Boersma | General Practice | Physicians Immediate Care Ltd. | 1672 S Gelena Ave, Dixon, IL 61021 |
| Kurt K Nelson | Optometry | 629 N Galena Ave, Dixon, IL 61021-0572 | |
| Lauren E Cecchetti | Nurse Practitioner | Cgh Medical Center | 1321 N Galena Ave, Dixon, IL 61021-1009 |
| Eric Gale | Internal Medicine | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Rachel M Deets | Physician Assistant | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Nolan D Wolfe | Physical Therapy | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Edward P Hanlon | Optometry | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Geoffrey N Wright | Physical Therapy | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Ajay Kumar Varma Buddaraju | Rheumatology | Cgh Medical Center | 1319 N Galena Ave, Dixon, IL 61021-1009 |
| Find all physicians in zip 61021 | |||
| City | DIXON |
| Zip Code | 61021 |
| Specialty | OPTOMETRY |
| City + Specialty | DIXON + OPTOMETRY |
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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.