Roger R Waller (NPI# 1750370011, PAC ID# 5991899627) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750370011 |
| PAC ID by PECOS | 5991899627 |
| Professional Enrollment ID | I20100921001096 |
| Full Name | Roger R Waller |
| Organization Legal Name | JACKSON COUNTY PUBLIC HOSPITAL |
| Address |
700 W Grove St Maquoketa IA 52060-2163 |
| Phone Number | 5636522474 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254248958 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161329 | JACKSON COUNTY REGIONAL HEALTH CENTER |
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| Address | Phone | Organization |
|---|---|---|
| 206 N Arcade St, Maquoketa, IA 52060-2022 | 3196526711 | MAQUOKETA FAMILY CLINIC |
| 700 W Grove St, Maquoketa, IA 52060-2163 | 5636522474 | JACKSON COUNTY PUBLIC HOSPITAL |
| Organization Legal Name | JACKSON COUNTY PUBLIC HOSPITAL |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn E Goodall | Emergency Medicine | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Alejandro Pulido | Family Medicine | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Katherine L Hurst | Emergency Medicine | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Bradley A Bourkland | Emergency Medicine | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Grant L Forrester | Emergency Medicine | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Ashraf Gerges | Family Practice | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Raymond M Hamilton | Family Practice | Jackson County Public Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 |
| Street Address |
700 W GROVE ST |
| City | MAQUOKETA |
| State | IA |
| Zip | 52060-2163 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian C Baird | Emergency Medicine | South Arkansas Emergency Physicians LLP | 700 W Grove St, Medical Center of South Ar, El Dorado, AR 71730-4416 |
| Alberto Gomez | Emergency Medicine | South Arkansas Emergency Physicians LLP | 700 W Grove St, Medical Center of South Ar, El Dorado, AR 71730-4416 |
| Mansoor Alam | Internal Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Okeyo Oghina | Nurse Practitioner | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Pamela J Schonefeld | Internal Medicine | South Arkansas Physician Services LLC | 700 W Grove St, El Dorado, AR 71730-4416 |
| Rachel Veach | Nurse Practitioner | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Jermey R Jones | Family Medicine | South Arkansas Emergency Physicians LLP | 700 W Grove St, Medical Center of South Ar, El Dorado, AR 71730-4416 |
| Steven Howard Farber | Internal Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Hunter Judkins | Family Medicine | South Central Hospitalists, LLP | 700 W Grove St, Medical Center of South Arkansas, El Dorado, AR 71730-4416 |
| Bradley A Pontani | Preventative Medicine | Healogics Specialty Physicians of Arkansas, Pllc | 700 W Grove St, El Dorado, AR 71730-4416 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne L Wagoner | Podiatry | 1202 German St, Maquoketa Care Center, Maquoketa, IA 52060-2000 | |
| Ann E Patterson | Nurse Practitioner | Maquoketa Family Clinic | 206 N Arcade St, Maquoketa, IA 52060-2022 |
| Robert G Skelley | Optometry | Robert G. Skelley, P.C. | 204 N Arcade St, Maquoketa, IA 52060-2022 |
| Carissa M Spain | Physician Assistant | Maquoketa Family Clinic | 206 N Arcade St, Maquoketa, IA 52060-2022 |
| Alyssa K Lakin | Physician Assistant | Maquoketa Family Clinic | 206 N Arcade St, Maquoketa, IA 52060-2022 |
| Jerald W Bybee | Family Medicine | Maquoketa Family Clinic | 206 N Arcade St, Maquoketa, IA 52060-2022 |
| Katherine E Ruff | Nurse Practitioner | Medical Associates of Maquoketa PC | 918 W Platt St, Suite 1, Maquoketa, IA 52060-2038 |
| Allyssa M Donahue | Nurse Practitioner | Medical Associates of Maquoketa PC | 918 W Platt St, Suite 1, Maquoketa, IA 52060-2038 |
| Eric S Petersen | Family Medicine | Medical Associates of Maquoketa PC | 918 W Platt St, Suite 1, Maquoketa, IA 52060-2038 |
| Tricia Marie Steines | Nurse Practitioner | Medical Associates of Maquoketa PC | 918 W Platt St, Suite 1, Maquoketa, IA 52060-2038 |
| Find all physicians in zip 52060 | |||
| City | MAQUOKETA |
| Zip Code | 52060 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MAQUOKETA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Roger R Waller.
| 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.