Thomas C Ocheltree Jr. (NPI# 1205892973, PAC ID# 5395740161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1205892973 |
| PAC ID by PECOS | 5395740161 |
| Professional Enrollment ID | I20060929000104 |
| Full Name | Thomas C Ocheltree Jr. |
| Organization Legal Name | DRS DORAN CAPODICE EFAW AND OCHELTREE LLC |
| Address |
109 N Regency Dr Bloomington IL 61701-3515 |
| Phone Number | 3096632526 |
| Gender | M |
| Credential | DDS |
| Graduation Year | 1999 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 5597713792 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 109 N Regency Dr, Bloomington, IL 61701-3515 | 3096632526 | DRS DORAN CAPODICE EFAW AND OCHELTREE LLC |
| Organization Legal Name | DRS DORAN CAPODICE EFAW AND OCHELTREE LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack Capodice Jr. | Oral Surgery | Drs Doran Capodice Efaw and Ocheltree LLC | 109 N Regency Dr, Bloomington, IL 61701-3515 |
| David S Efaw | Oral Surgery | Drs Doran Capodice Efaw and Ocheltree LLC | 109 N Regency Dr, Bloomington, IL 61701-3515 |
| Stephen Doran | Oral Surgery | Drs Doran Capodice Efaw and Ocheltree LLC | 109 N Regency Dr, Bloomington, IL 61701-3515 |
| Street Address |
109 N REGENCY DR |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61701-3515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack Capodice Jr. | Oral Surgery | Drs Doran Capodice Efaw and Ocheltree LLC | 109 N Regency Dr, Bloomington, IL 61701-3515 |
| David S Efaw | Oral Surgery | Drs Doran Capodice Efaw and Ocheltree LLC | 109 N Regency Dr, Bloomington, IL 61701-3515 |
| Jerome William Wellinghoff | Certified Registered Nurse Anesthetist | 109 N Regency Dr, Bloomington, IL 61701-3515 | |
| Stephen Doran | Oral Surgery | Drs Doran Capodice Efaw and Ocheltree LLC | 109 N Regency Dr, Bloomington, IL 61701-3515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Find all physicians in zip 61701 | |||
| City | BLOOMINGTON |
| Zip Code | 61701 |
| Specialty | ORAL SURGERY |
| City + Specialty | BLOOMINGTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Thomas C Ocheltree Jr..
| 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.