Bo Ra Nam (NPI# 1164778379, PAC ID# 4981917705) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1164778379 |
| PAC ID by PECOS | 4981917705 |
| Professional Enrollment ID | I20150722003876 |
| Full Name | Bo Ra Nam |
| Organization Legal Name | FRANCISCAN PHYSICIAN NETWORK |
| Address |
12800 Mississippi St B201 Crown Point IN 46307-6902 |
| Phone Number | 2196637000 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 3072790682 |
| Number of Group Practice Members | 929 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150126 | FRANCISCAN HEALTH CROWN POINT |
| 150165 | FRANCISCAN HEALTHCARE - MUNSTER |
| 150090 | FRANCISCAN HEALTH DYER |
| 150125 | COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12800 Mississippi St, B201, Crown Point, IN 46307-6902 | 2196637000 | FRANCISCAN PHYSICIAN NETWORK |
| Organization Legal Name | FRANCISCAN PHYSICIAN NETWORK |
| Physicians | 1007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Md Polezoes | Family Medicine | Franciscan Physician Network | 7310 W Lincoln Hwy, Crown Point, IN 46307-9528 |
| Nichole Elaine Roberts | Nurse Practitioner | Franciscan Physician Network | 9470 Broadway, Ob/gyn, Crown Point, IN 46307-5722 |
| Scot Cordray | Orthopedic Surgery | Franciscan Physician Network | 1660 Lafayette Rd, Suite 300, Crawfordsville, IN 47933-4601 |
| Laura Walradth | Nurse Practitioner | Franciscan Physician Network | 1703 W Stones Crossing Rd, Suite 200, Greenwood, IN 46143-8558 |
| Kyle J Kleist | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Ann Bn Achufusi | Family Medicine | Franciscan Physician Network | 200 3rd Court Se, Demonte, IN 46310-7400 |
| Robert P Marino | Family Medicine | Franciscan Physician Network | 4111 Franklin St, Michigan City, IN 46360-7803 |
| Victoria N Tiemens | Nurse Practitioner | Franciscan Physician Network | 101 W 61st Ave, Hobart, IN 46342-6449 |
| Kyle N Seudeal | General Surgery | Franciscan Physician Network | 1203 E Hadley Rd, Suite 204, Mooresville, IN 46158-1885 |
| Amanpreet Kaur | Pulmonary Disease | Franciscan Physician Network | 3500 N Franciscan Way, Suite 400, Michigan City, IN 46360-0021 |
| Street Address |
12800 MISSISSIPPI ST B201 |
| City | CROWN POINT |
| State | IN |
| Zip | 46307-6902 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanos Rizos | Obstetrics/gynecology | Franciscan Physician Network | 12800 Mississippi St, B201, Crown Point, IN 46307-6902 |
| Sarah Elaine Polito | Family Medicine | Franciscan Physician Network | 12800 Mississippi St, B201, Crown Point, IN 46307-6902 |
| Nicole A Mosley | Family Medicine | Franciscan Physician Network | 12800 Mississippi St, B201, Crown Point, IN 46307-6902 |
| George Babchuk | Family Practice | Franciscan Physician Network | 12800 Mississippi St, B201, Crown Point, IN 46307-6902 |
| 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 | FAMILY PRACTICE |
| City + Specialty | CROWN POINT + FAMILY PRACTICE |
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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.