Erik John Fossen (NPI# 1023472883, PAC ID# 7214223569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1023472883 |
| PAC ID by PECOS | 7214223569 |
| Professional Enrollment ID | I20190104000816 |
| Full Name | Erik John Fossen |
| Organization Legal Name | OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER |
| Address |
1100 E Norris Dr Ottawa IL 61350-1604 |
| Phone Number | 8154333100 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9133029861 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140223 | ADVOCATE LUTHERAN GENERAL HOSPITAL |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1100 E Norris Dr, Ottawa, IL 61350-1604 | 8154333100 | OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER |
| Organization Legal Name | OTTAWA REGIONAL HOSPITAL AND HEALTHCARE CENTER |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela C Nimke | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Susan M Rohr | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Anthony C Zalduendo | Radiation Oncology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Daniel R Mueller | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Sidharth Chandra | Psychiatry | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Wajid Hussain | Psychiatry | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Imad Khan | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Michael L Glavin | Psychiatry | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Shaista A Malik | Anesthesiology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Matthew W Wols | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Street Address |
1100 E NORRIS DR |
| City | OTTAWA |
| State | IL |
| Zip | 61350-1604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Alan Crowhurst | Podiatry | 1100 E Norris Dr, Ottawa, IL 61350-1604 | |
| Angela C Nimke | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Neil N Pandya | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Susan M Rohr | Clinical Social Worker | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Anthony C Zalduendo | Radiation Oncology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Daniel R Mueller | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Mohammed Siddiqui | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Sidharth Chandra | Psychiatry | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Wajid Hussain | Psychiatry | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Imad Khan | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Aubry | Clinical Social Worker | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Craig S Laasch | Psychologist, Clinical | Crossroads Counseling Services, LLC | 601 W Norris Dr, Suite B, Ottawa, IL 61350-1308 |
| Michael L Glavin | Psychiatry | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Shaista A Malik | Anesthesiology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Matthew W Wols | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Steven D Fetzer | Certified Registered Nurse Anesthetist (crna) | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Rebecca Jane Duke | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Shahmohammed F Parves | Anesthesiology | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Andrew B Moore | Emergency Medicine | Ottawa Regional Hospital and Healthcare Center | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Zia Samad | Internal Medicine | 24 On Physicians PC | 1100 E Norris Dr, Ottawa, IL 61350-1604 |
| Find all physicians in zip 61350 | |||
| City | OTTAWA |
| Zip Code | 61350 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | OTTAWA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Erik John Fossen.
| 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.