Justin Kelley Spackey (NPI# 1831353788, PAC ID# 4385770536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1831353788 |
| PAC ID by PECOS | 4385770536 |
| Professional Enrollment ID | I20100327000169 |
| Full Name | Justin Kelley Spackey |
| Organization Legal Name | MUNSTER RADIOLOGY GROUP PC |
| Address |
10215 Broadway Crown Point IN 46307-8001 |
| Phone Number | 2197034550 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1951299940 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150125 | COMMUNITY HOSPITAL |
| 150034 | ST MARY MEDICAL CENTER INC |
| 150008 | ST CATHERINE HOSPITAL INC |
| 140239 | ROCKFORD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10215 Broadway, Crown Point, IN 46307-8001 | 2197034550 | MUNSTER RADIOLOGY GROUP PC |
| 4321 Fir St, East Chicago, IN 46312-3049 | 2193921700 | MUNSTER RADIOLOGY GROUP PC |
| 586 Oak St, Elk Grove Village, IL 60007-4210 | 8476822018 | MUNSTER RADIOLOGY GROUP PC |
| 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2199420551 | MUNSTER RADIOLOGY GROUP PC |
| 901 Macarthur Blvd, Munster, IN 46321-2901 | 8003798731 | MUNSTER RADIOLOGY GROUP PC |
| 2400 N Rockton Ave, Rockford, IL 61103-3655 | 8159715000 | ROCKFORD HEALTH PHYSICIAN |
| 1545 W Us Hwy 30, Schererville, IN 46375-1562 | 2198363477 | MUNSTER RADIOLOGY GROUP PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | MUNSTER RADIOLOGY GROUP PC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ernest J Laney Iv | Diagnostic Radiology | Munster Radiology Group PC | 1602 Butterfield Rd, Flossmoor, IL 60422-1835 |
| Feng Zhang | Diagnostic Radiology | Munster Radiology Group PC | 4739 Wellington Dr, Long Grove, IL 60047-5223 |
| Michele D Semin | Diagnostic Radiology | Munster Radiology Group PC | 901 Macarthur Blvd, Munster, IN 46321-2901 |
| Bradley C Johnson | Physician Assistant | Munster Radiology Group PC | 4321 Fir St, East Chicago, IN 46312-3049 |
| Devang J Doshi | Diagnostic Radiology | Munster Radiology Group PC | 4321 Fir St, East Chicago, IN 46312-3049 |
| Lingyun Xiong | Diagnostic Radiology | Munster Radiology Group PC | 4321 Fir St, East Chicago, IN 46312-3049 |
| Edward J Bok | Diagnostic Radiology | Munster Radiology Group PC | 4321 Fir St, East Chicago, IN 46312-3049 |
| John W Gustaitis | Diagnostic Radiology | Munster Radiology Group PC | 10215 Broadway, Crown Point, IN 46307-8001 |
| Mary H Nicholson | Diagnostic Radiology | Munster Radiology Group PC | 4321 Fir St, East Chicago, IN 46312-3049 |
| Ronald Daniel Kunst | Diagnostic Radiology | Munster Radiology Group PC | 1602 Butterfield Rd, Flossmoor, IL 60422-1835 |
| Street Address |
10215 BROADWAY |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-8001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vera H Masutti | Emergency Medicine | Community Care Network Inc | 10215 Broadway, Crown Point, IN 46307-8001 |
| April Lee Bisaga | Emergency Medicine | Community Care Network Inc | 10215 Broadway, Crown Point, IN 46307-8001 |
| John W Gustaitis | Diagnostic Radiology | Munster Radiology Group PC | 10215 Broadway, Crown Point, IN 46307-8001 |
| John E Rogers | Family Medicine | Community Care Network Inc | 10215 Broadway, Crown Point, IN 46307-8001 |
| Kathryn M Gjeldum | Nurse Practitioner | Community Care Network Inc | 10215 Broadway, Crown Point, IN 46307-8001 |
| Ragini Bielski | Internal Medicine | Community Care Network Inc | 10215 Broadway, Crown Point, IN 46307-8001 |
| Mikhail F Jeha | Diagnostic Radiology | Munster Radiology Group PC | 10215 Broadway, Crown Point, IN 46307-8001 |
| Thomas M Hoess | Diagnostic Radiology | Munster Radiology Group PC | 10215 Broadway, Crown Point, IN 46307-8001 |
| Regina M Iwinski | Emergency Medicine | Community Care Network Inc | 10215 Broadway, Crown Point, IN 46307-8001 |
| Jonathon T Lee | Diagnostic Radiology | Munster Radiology Group PC | 10215 Broadway, Crown Point, IN 46307-8001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Zato | Family Medicine | Advanced Care Medical Specialists PC | 1555 S Main St, Symphony of Crown Point, Crown Point, IN 46307-0114 |
| Kathleen J Decorte | Nurse Practitioner | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Rebekah Jennifer Vega | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Julie Ann Derosa | Family Practice | Aberdeen Ventures, Ltd. | 5521 W Lincoln Hwy 1a, Immediate Care Center, Crown Point, IN 46307-1098 |
| Miyako S Streeter | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Dana Joy Hiskes | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Kenneth W Blumenthal | Allergy/immunology | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Margaret Bazarko | Qualified Speech Language Pathologist | Allergy Asthma Care P.C. | 5521 W Lincoln Hwy 100, Crown Point, IN 46307-1098 |
| Kerry Ann Kanaley | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Akeela Benson | Nurse Practitioner | Midwest Express Care 4 LLC | 5521 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307-1098 |
| Find all physicians in zip 46307 | |||
| City | CROWN POINT |
| Zip Code | 46307 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CROWN POINT + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Justin Kelley Spackey.
| 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.