James J Spadaro (NPI# 1063411999, PAC ID# 6901997402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1063411999 |
PAC ID by PECOS | 6901997402 |
Professional Enrollment ID | I20070814000069 |
Full Name | James J Spadaro |
Organization Legal Name | PCRMC MEDICAL GROUP, INC |
Address |
1000 W 10th St Rolla MO 65401-2905 |
Phone Number | 5732658840 |
Gender | M |
Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
Graduation Year | 1976 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 1557454063 |
Number of Group Practice Members | 104 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
260081 | SSM ST CLARE HEALTH CENTER |
260024 | TEXAS COUNTY MEMORIAL HOSPITAL |
261302 | MADISON MEDICAL CENTER |
261318 | SALEM MEMORIAL DISTRICT HOSPITAL |
Address | Phone | Organization |
---|---|---|
1011 Bowles Ave, Fenton, MO 63026-2387 | SSM MEDICAL GROUP INC | |
1000 W 10th St, Rolla, MO 65401-2905 | 5732658840 | PCRMC MEDICAL GROUP, INC |
1050 W 10th St, Rolla, MO 65401-2905 | PCRMC MEDICAL GROUP, INC | |
1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 | 5734587500 | PCRMC MEDICAL GROUP, INC |
3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 | 3142389100 | SSM MEDICAL GROUP INC |
Organization Legal Name | PCRMC MEDICAL GROUP, INC |
Physicians | 113 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Rachel Ann Feeler | Nurse Practitioner | Pcrmc Medical Group, Inc | 600 Blues Lake Pkwy, Rolla, MO 65401-8022 |
Lisa L Smith | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 Gw Ln, Waynesville, MO 65583-2339 |
Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
Randee J Feco | Psychologist, Clinical | Pcrmc Medical Group, Inc | 575 Blues Lake Pkwy B, Rolla, MO 65401-8587 |
Alan D Heincker | Orthopedic Surgery | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Miriam L Stricklan | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Steven R Ballard | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Street Address |
1000 W 10TH ST |
City | ROLLA |
State | MO |
Zip | 65401-2905 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Candy L Sadler | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Joseph W Meyerott | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
Jennifer L Bremer | Physician Assistant | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Farrokh Dehdashti | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
Maria R Ponisio | Nuclear Medicine | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
Christin L Hylton | Physician Assistant | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Matthew S Parsons | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
Ali Y Mian | Diagnostic Radiology | Miracl LLC | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
Blaine E Goodman | Certified Registered Nurse Anesthetist (crna) | Phelps County Regional Medical Center | 1000 W 10th St, Phelps Health, Rolla, MO 65401-2905 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
Sean L Harris | Nurse Practitioner | South Central Missouri Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 |
Sharon Renee Anderson | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
Dixie Fox | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
Tim M Rhoads | Chiropractic | 1201 C Forum Dr, Rolla, MO 65401-2587 | |
Jacob G Heaberlin | Chiropractic | 1201 Forum Dr, Suite B, Rolla, MO 65401-2587 | |
Vernon Edward Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
David E Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
Find all physicians in zip 65401 |
City | ROLLA |
Zip Code | 65401 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | ROLLA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.