John W Boardman (NPI# 1164484721, PAC ID# 4284642513) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1164484721 |
| PAC ID by PECOS | 4284642513 |
| Professional Enrollment ID | I20130415000269 |
| Full Name | John W Boardman |
| Organization Legal Name | OROVILLE HOSPITAL |
| Address |
1110 Chapin St Beloit WI 53511-6472 |
| Phone Number | 855687723711115 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1254234339 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050030 | OROVILLE HOSPITAL |
| 390231 | ABINGTON MEMORIAL HOSPITAL |
| 490024 | CARILION MEDICAL CENTER |
| 490021 | CENTRA |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1110 Chapin St, Beloit, WI 53511-6472 | 855687723711115 | OROVILLE HOSPITAL |
| 1110 Chapin St, Beloit, WI 53511-6472 | 7044823880 | SHELBY RADIOLOGICAL ASSOCIATES, PA |
| 1110 Chapin St, Beloit, WI 53511-6472 | 8556877237 | RADIOLOGY GROUP OF ABINGTON PC |
| 1110 Chapin St, Beloit, WI 53511-6472 | RADIOLOGY CONSULTANTS OF LYNCHBURG INC | |
| 1110 Chapin St, Beloit, WI 53511-6472 | DIRECT RADIOLOGY PLLC | |
| 1110 Chapin St, Beloit, WI 53511-6472 | ENLOE MEDICAL CENTER | |
| 1110 Chapin St, Beloit, WI 53511-6472 | 40658786311003 | INTERCITY RADIOLOGY PC |
| Organization Legal Name | OROVILLE HOSPITAL |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Rusnak | Diagnostic Radiology | Oroville Hospital | 2020 Walnut St Apt, 29l William T Randazzo Md, Philadelphia, PA 19103-5600 |
| Shameem P Azizad | Diagnostic Radiology | Oroville Hospital | 5001 Evidence Cv, Lillian W Cavin Md, Spicewood, TX 78669-6442 |
| Kyle J Henneberry | Diagnostic Radiology | Oroville Hospital | 15734 Ne 117th St, Redmond, WA 98052-2298 |
| Asti Pilika | Diagnostic Radiology | Oroville Hospital | 520 Lunalilo Home Rd, Unit 6308, Honolulu, HI 96825-1748 |
| Anjali Roy | Diagnostic Radiology | Oroville Hospital | 6164 N Pinnacle Ridge Dr, Tucson, AZ 85718-3503 |
| Jeffrey W Grossman | Diagnostic Radiology | Oroville Hospital | 8611 W Eagle Ridge Rd, Coeur D Alene, ID 83814-9565 |
| Farhad Keliddari | Diagnostic Radiology | Oroville Hospital | 12411 W Fielding Cir, Apt 2518, Playa Vista, CA 90094-2570 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Margaret Kang | Diagnostic Radiology | Oroville Hospital | 1021 Broad Branch Ct, Mc Lean, VA 22101-2140 |
| Shree J Shah | Diagnostic Radiology | Oroville Hospital | 2537 Sw Park Meadows Trl, Palm City, FL 34990-7944 |
| Street Address |
1110 CHAPIN ST |
| City | BELOIT |
| State | WI |
| Zip | 53511-6472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ananthakrishna Chilukuri | Diagnostic Radiology | Radadvantage A Professional Corporation | 1110 Chapin St, Beloit, WI 53511-6472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey T Bouc | Family Medicine | 3005 S Riverside Dr, Suite 101, Beloit, WI 53511-1500 | |
| Ann L Pruyne | Occupational Therapy | 828 E Azalea Ter, Beloit, WI 53511-1606 | |
| Frank C Kollins | Chiropractic | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | |
| Sara A Jackson | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Madelene G Hamann | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Steven S Yang | Gastroenterology | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Cynthia L Philpott | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Yehia K Khoga | Psychiatry | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Joseph K Kittah | Pulmonary Disease | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Maria M Poplawska Goetzen | Family Medicine | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Find all physicians in zip 53511 | |||
| City | BELOIT |
| Zip Code | 53511 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BELOIT + DIAGNOSTIC RADIOLOGY |
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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.