Fredrick D Oakley (NPI# 1235429085, PAC ID# 5395048250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1235429085 |
| PAC ID by PECOS | 5395048250 |
| Professional Enrollment ID | I20170801003024 |
| Full Name | Fredrick D Oakley |
| Organization Legal Name | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Address |
221 Neglen Oak Ave Peoria IL 61636-4310 |
| Phone Number | 3096724919 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 1254228711 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY - ROCK ISLAND |
| 160013 | TRINITY MUSCATINE |
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 160104 | TRINITY - BETTENDORF |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| Address | Phone | Organization |
|---|---|---|
| 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 5637422724 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| 221 Neglen Oak Ave, Peoria, IL 61636-4310 | 3096724919 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Organization Legal Name | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew B Armstrong | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Pamela P Goodell | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Michael D Spears | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Katherine A Kasper | Pathology | Peoria Tazewell Pathology Group, S.c. | 5409 N Knoxville Ave, Peoria, IL 61614-5069 |
| Brandy R Pownell | Pathology | Peoria Tazewell Pathology Group, S.c. | 5409 N Knoxville Ave, Peoria, IL 61614-5069 |
| Ronald Champagne | Pathology | Peoria Tazewell Pathology Group, S.c. | 210 W Walnut St, Canton, IL 61520-2444 |
| Adam M Quinn | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Lily Tran | Pathology | Peoria Tazewell Pathology Group, S.c. | 600 S 13th St, Pekin, IL 61554-4936 |
| Horea A Baila | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Wei Liu | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Street Address |
221 NEGLEN OAK AVE |
| City | PEORIA |
| State | IL |
| Zip | 61636-4310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Divya Karjala Chakkaravarthy | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Colin D Sauer | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Pamela P Goodell | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Anthony O Foulen | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Michael D Spears | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Mouhammad F Tarsha | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| David S Bayley | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Debbie S Booton Bailey | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Sara K Good | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia C Layton | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Mika Johnson | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anne Rene Webster | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Pooja Gupta | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Aiyub Patel | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anota Nwejengoh Akofu | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Praveen R Anegondhi Sudhindra | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Tammy Burtch | Clinical Social Worker | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Angela Walker | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Dragica Durman | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Find all physicians in zip 61636 | |||
| City | PEORIA |
| Zip Code | 61636 |
| Specialty | PATHOLOGY |
| City + Specialty | PEORIA + PATHOLOGY |
Please comment or provide details below to improve the information on Fredrick D Oakley.
| 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.