Timothy E Fahey (NPI# 1861756652, PAC ID# 8729309588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1861756652 |
| PAC ID by PECOS | 8729309588 |
| Professional Enrollment ID | I20190125000449 |
| Full Name | Timothy E Fahey |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Address |
111 Oakwood Rd East Peoria IL 61611-1853 |
| Phone Number | 3097404272 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436061827 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140064 | ST MARY MEDICAL CENTER |
| 140001 | GRAHAM HOSPITAL ASSOCIATION |
| 140161 | SAINT JAMES HOSPITAL |
| 141325 | OSF SAINT LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 Oakwood Rd, East Peoria, IL 61611-1853 | 3097404272 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Alexander Roman Oshmyansky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 8712 W Fair Dr, Littleton, CO 80123-3229 |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Leon J Wise | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Grace A Tye | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 956 Calle Santa Cruz, Encinitas, CA 92024-6609 |
| Hugh Mcswain | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 31 Dorset Ln, Mill Valley, CA 94941-5203 |
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Street Address |
111 OAKWOOD RD |
| City | EAST PEORIA |
| State | IL |
| Zip | 61611-1853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| James W Farn | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Merle A Piacenti | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Tyler M Flessner | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Stephen W Goth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Mary E Mccrate | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Steven P Lukancic | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Tyler Cornelius | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Paul H Kim | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Steven E Coventry | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dustin Brown | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 123 W Spring Creek Rd, East Peoria, IL 61611-1346 |
| Catherine J Kilbourn | Clinical Social Worker | 2500 N Main St, Suite 2b, East Peoria, IL 61611-1780 | |
| Nancy S Egger | Clinical Social Worker | 2500 N Main St, Suite 2b, East Peoria, IL 61611-1780 | |
| Timothy Alan Mikesell | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Vivek Patel | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Mark Montefolka | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Carlos Miguel Avila | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Prem L Bhatia | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| Ziad A Musaitif | Family Practice | Belcrest Services Ltd | 2535 E Washington St, East Peoria, IL 61611-1863 |
| Cheryl L Wegman | Family Practice | Belcrest Services Ltd | 2535 E Washington St, Proctor First Care East Peoria, East Peoria, IL 61611-1863 |
| Find all physicians in zip 61611 | |||
| City | EAST PEORIA |
| Zip Code | 61611 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EAST PEORIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Timothy E Fahey.
| 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.