Eric D Hamburg (NPI# 1922064518, PAC ID# 5395767958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1922064518 |
| PAC ID by PECOS | 5395767958 |
| Professional Enrollment ID | I20051222000578 |
| Full Name | Eric D Hamburg |
| Organization Legal Name | HO-CHUNK NATION |
| Address |
S2845 White Eagle Rd Baraboo WI 53913-9064 |
| Phone Number | 6083551240 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 5496709867 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520057 | SSM HEALTH ST CLARE HOSPITAL - BARABOO |
| Address | Phone | Organization |
|---|---|---|
| 707 14th St, Baraboo, WI 53913-1539 | 6083561400 | SSM HEALTH CARE OF WISCONSIN INC |
| S2845 White Eagle Rd, Baraboo, WI 53913-9064 | 6083551240 | HO-CHUNK NATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 92% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 63% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 95% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 4% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 40% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 38% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 90% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | HO-CHUNK NATION |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil F Cox | Family Medicine | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Mary Ellen Sabourin | Family Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Lori M Haun | Optometry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Kyla N Ripp | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Jessica Elizabeth Jennings | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Rachel M Lundberg | Optometry | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Thomas E Zirkel | Podiatry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Cari L Ritter | Physician Assistant | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Sue M Christopherson | Nurse Practitioner | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Christine R Seguin | Nurse Practitioner | Ho-chunk Nation | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615-5405 |
| Street Address |
S2845 WHITE EAGLE RD |
| City | BARABOO |
| State | WI |
| Zip | 53913-9064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Ellen Sabourin | Family Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Lori M Haun | Optometry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Kyla N Ripp | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Jessica Elizabeth Jennings | Registered Dietitian Or Nutrition Professional | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Thomas E Zirkel | Podiatry | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Cari L Ritter | Physician Assistant | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Amy J Delong | Family Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Kiana Li Beaudin | Physician Assistant | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Chandra S Reddy | Internal Medicine | Ho-chunk Nation | S2845 White Eagle Rd, Baraboo, WI 53913-9064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela J Thompson | Chiropractic | 157 Linn St, Baraboo, WI 53913-1071 | |
| Jay C Taylor | Chiropractic | Torson Enterprises LLC | 550 W Maple St, Suite 201, Baraboo, WI 53913-1166 |
| Andrew J Gudenschwager | Chiropractic | Torson Enterprises LLC | 550 W Maple St, Suite 201, Baraboo, WI 53913-1166 |
| Jason C Theobald | Chiropractic | Torson Enterprises LLC | 550 W Maple St, Suite 201, Baraboo, WI 53913-1166 |
| Ronald J Burkhalter | Chiropractic | Burkhalter Chiropractic S C | 920 8th Ave, Baraboo, WI 53913-1247 |
| Melanie A Arsenault-burkhalter | Chiropractic | Burkhalter Chiropractic S C | 920 8th Ave, Baraboo, WI 53913-1247 |
| Violet Margaret Laukant | Nurse Practitioner | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Emily J Parker | Optometry | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Borys I Kusyk | Podiatry | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Theresa L Frith | Optometry | Dean Health Systems Inc | 1626 Tuttle St, Baraboo, WI 53913-1501 |
| Find all physicians in zip 53913 | |||
| City | BARABOO |
| Zip Code | 53913 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BARABOO + INTERNAL MEDICINE |
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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.