Sean A Fitzgerald (NPI# 1912107186, PAC ID# 6507087038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1912107186 |
| PAC ID by PECOS | 6507087038 |
| Professional Enrollment ID | I20141024001492 |
| Full Name | Sean A Fitzgerald |
| Organization Legal Name | CENTRAL ILLINOIS PATHOLOGY, SC |
| Address |
530 Ne Glen Oak Ave Osf St Francis Med Peoria IL 61637-0001 |
| Phone Number | 3096552000 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 9133160450 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140234 | ILLINOIS VALLEY COMMUNITY HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 141330 | HOPEDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 | 3096552000 | CENTRAL ILLINOIS PATHOLOGY, SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_251_overall | Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients | 100% |
| Organization Legal Name | CENTRAL ILLINOIS PATHOLOGY, SC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hamid M Zia | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Michael D Lunt | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Janeen N Buonaccorsi | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| James D Siebert | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Sarah E Bach | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Manuel I Doria | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Galen M Kessler | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Jan N Upalakalin | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Nibha Saxena | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Viren R Patel | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Street Address |
530 NE GLEN OAK AVE OSF ST FRANCIS MED |
| City | PEORIA |
| State | IL |
| Zip | 61637-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hamid M Zia | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Jill Kennelly | Nurse Practitioner | Saint Francis Medical Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
| Benjamin J Richter | Psychologist, Clinical | Saint Francis Medical Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
| Melanie A Reeves | Certified Clinical Nurse Specialist (cns) | Saint Francis Medical Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
| Michael D Lunt | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Connie E Zurski | Certified Clinical Nurse Specialist (cns) | Saint Francis Medical Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
| Janeen N Buonaccorsi | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Nina N Trisilla | Nurse Practitioner | Saint Francis Medical Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
| Melinda L Lange | Certified Clinical Nurse Specialist (cns) | Saint Francis Medical Center | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 |
| James D Siebert | Pathology | Central Illinois Pathology, Sc | 530 Ne Glen Oak Ave, Osf St Francis Med, Peoria, IL 61637-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Leonardi | Obstetrics/gynecology | Osf Multi-specialty Group | 530 Neglen Oak Ave, Suite 1200, Peoria, IL 61637-0001 |
| John M Mccarthy | Hospitalist | Osf Multi-specialty Group | 530 Neglen Oak Ave, Peoria, IL 61637-0001 |
| Chrisopher J Martin | Hospice/palliative Care | Osf Multi-specialty Group | 530 Neglen Oak Ave, Il Neurological Inst, Peoria, IL 61637-0001 |
| Serageldin Raslan | Hospitalist | Osf Multi-specialty Group | 530 Neglen Oak Ave, Peoria, IL 61637-0001 |
| Paul S Moots | Hospitalist | Osf Multi-specialty Group | 530 Neglen Oak Ave, Il Neurological Inst, Peoria, IL 61637-0001 |
| Murtaza A Sundhu | Hospitalist | Osf Multi-specialty Group | 530 Neglen Oak Ave, Il Neurological Inst, Peoria, IL 61637-0001 |
| Teresa J Lynch | Pediatric Medicine | Osf Multi-specialty Group | 530 Neglen Oak Ave, Peoria, IL 61637-0001 |
| Umair Ahmed | Internal Medicine | Osf Multi-specialty Group | 530 Neglen Oak Ave, Il Neurological Inst, Peoria, IL 61637-0001 |
| Charles W Lagoski | Family Medicine | Osf Multi-specialty Group | 530 Neglen Oak Ave, Il Neurological Inst, Peoria, IL 61637-0001 |
| Bhuvaneswari Subramanian | Hospitalist | Osf Multi-specialty Group | 530 Neglen Oak Ave, Peoria, IL 61637-0001 |
| Find all physicians in zip 61637 | |||
| City | PEORIA |
| Zip Code | 61637 |
| Specialty | PATHOLOGY |
| City + Specialty | PEORIA + PATHOLOGY |
Please comment or provide details below to improve the information on Sean A Fitzgerald.
| 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.