Timothy Oconnor (NPI# 1710974597, PAC ID# 4688758055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1710974597 |
| PAC ID by PECOS | 4688758055 |
| Professional Enrollment ID | I20080222000602 |
| Full Name | Timothy Oconnor |
| Organization Legal Name | RENALCARE ASSOCIATES, S.C. |
| Address |
430 Maxine Dr Renalcare Associates Sc Morton IL 61550-2495 |
| Phone Number | 3092667600 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7012818347 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140113 | PRESENCE COVENANT MEDICAL CENTER- URBANA |
| 140148 | MEMORIAL MEDICAL CENTER |
| 140064 | ST MARY MEDICAL CENTER |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 430 Maxine Dr, Renalcare Associates Sc, Morton, IL 61550-2495 | 3092667600 | RENALCARE ASSOCIATES, S.C. |
| 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 | 3096768123 | RENALCARE ASSOCIATES, S.C. |
| Organization Legal Name | RENALCARE ASSOCIATES, S.C. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sudha Cherukuri | Nephrology | Renalcare Associates, S.c. | 719 Elliott St, Kewanee Hospital, Kewanee, IL 61443-2779 |
| Kumarpal C Shrishrimal | Nephrology | Renalcare Associates, S.c. | 1404 Eastland Dr, 103 Renalcare Associates Sc, Bloomington, IL 61701-7904 |
| Timothy A Pflederer | Nephrology | Renalcare Associates, S.c. | 430 Maxine Dr, Renal Intervention Center, Morton, IL 61550-2495 |
| Gordon W. James | Nephrology | Renalcare Associates, S.c. | 2355 Broadway, Renalcare Associates Sc, Pekin, IL 61554-3902 |
| Parthasarathy Srinivasan | Nephrology | Renalcare Associates, S.c. | 765 N Kellogg St, 203 Renalcare Associates Sc, Galesburg, IL 61401-2859 |
| Alexander J Alonso | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Robert Bruha | Nephrology | Renalcare Associates, S.c. | 1404 Eastland Dr, 103 Renalcare Associates Sc, Bloomington, IL 61701-7904 |
| Amit B Jamnadas | Nephrology | Renalcare Associates, S.c. | 1050 E Norris Dr, Suite 2c, Ottawa, IL 61350-1611 |
| Robert Theis Sparrow | Nephrology | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Tonya Moore | Nurse Practitioner | Renalcare Associates, S.c. | 420 Ne Glen Oak Ave, Suite 401, Peoria, IL 61603-3168 |
| Street Address |
430 MAXINE DR RENALCARE ASSOCIATES SC |
| City | MORTON |
| State | IL |
| Zip | 61550-2495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy A Pflederer | Nephrology | Renalcare Associates, S.c. | 430 Maxine Dr, Renal Intervention Center, Morton, IL 61550-2495 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Walsh | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Patricia J Geisz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Anthony Schupp | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Jennah Siwak | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Ashley N Brandt | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Nicole Kaltwasser | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Stephanie J Shepherdson | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Emily K Getz | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Taariq Goder | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Mary E Gerig | Physical Therapy | Professional Therapy Services Inc | 1909 N Morton Ave, Morton, IL 61550-1426 |
| Find all physicians in zip 61550 | |||
| City | MORTON |
| Zip Code | 61550 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MORTON + GENERAL SURGERY |
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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.