Mary Jo Bloominger (NPI# 1174503726, PAC ID# 5395831457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174503726 |
| PAC ID by PECOS | 5395831457 |
| Professional Enrollment ID | I20071019000561 |
| Full Name | Mary Jo Bloominger |
| Organization Legal Name | RIVER VALLEY FAMILY PRACTICE LTD |
| Address |
2550 24th St Rock Island IL 61201-5304 |
| Phone Number | 3097934223 |
| Gender | F |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7416043567 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140280 | TRINITY ROCK ISLAND |
| Address | Phone | Organization |
|---|---|---|
| 2550 24th St, Rock Island, IL 61201-5304 | 3097934223 | RIVER VALLEY FAMILY PRACTICE LTD |
| Organization Legal Name | RIVER VALLEY FAMILY PRACTICE LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Gannon | Family Practice | River Valley Family Practice Ltd | 2550 24th St, Rock Island, IL 61201-5304 |
| Street Address |
2550 24TH ST |
| City | ROCK ISLAND |
| State | IL |
| Zip | 61201-5304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul C Mcloone | Family Practice | Iowa Physicians Clinic Medical Foundation | 2550 24th St, Rock Island, IL 61201-5304 |
| James M Bain | Family Practice | Iowa Physicians Clinic Medical Foundation | 2550 24th St, Rock Island, IL 61201-5304 |
| David L Gannon | Family Practice | River Valley Family Practice Ltd | 2550 24th St, Rock Island, IL 61201-5304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann Perreau | Qualified Audiologist | Center for Speech Language and Hearing, 851 34th Street, Rock Island, IL 61201 | |
| Michael K Sharp | Audiologist | Center for Speech Language and Hearing, 851 34th Street, Rock Island, IL 61201 | |
| Timothy A Brien | Chiropractic | 4510 7th Ave, Rock Island, IL 61201-2260 | |
| Ann M Mcnelis | Clinical Social Worker | Transitions Nfp | 805 19th St, Rock Island, IL 61201-2514 |
| Frances B Ricketts | Clinical Psychologist | 2208 7th Ave, Rock Island, IL 61201-2604 | |
| Eric E Lundgren | Chiropractic | Lundgren Chiropractic, Ltd | 2965 13th Ave, Rock Island, IL 61201-2814 |
| James Thomas Stegmaier | Chiropractic | Lundgren Chiropractic, Ltd | 2965 13th Ave, Rock Island, IL 61201-2814 |
| Rodney K Simmer | Chiropractic | 3012 18th Ave, Rock Island, IL 61201-2939 | |
| Bruce E Jones Iii | Emergency Medicine | 3635 14th Ave, Rock Island, IL 61201-3069 | |
| Jack Vukov | Ophthalmology | 2100 18th Ave, Suite 4, Rock Island, IL 61201-3611 | |
| Find all physicians in zip 61201 | |||
| City | ROCK ISLAND |
| Zip Code | 61201 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROCK ISLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary Jo Bloominger.
| 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.