Richard J Rothman (NPI# 1508867318, PAC ID# 9133169584) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1508867318 |
| PAC ID by PECOS | 9133169584 |
| Professional Enrollment ID | I20050720000399 |
| Full Name | Richard J Rothman |
| Organization Legal Name | RETINA CONSULTANTS LTD |
| Address |
1009 42nd St Suite 3 Mt Vernon IL 62864-6218 |
| Phone Number | 3143671181 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 9537259957 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 | 3143671181 | RETINA CONSULTANTS LTD |
| 1009 42nd St, Suite 3, Mt Vernon, IL 62864-6218 | 3143671181 | RETINA CONSULTANTS LTD |
| 17 The Boulevard, Richmond Heights, MO 63117-1118 | 3143671181 | RETINA CONSULTANTS LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | RETINA CONSULTANTS LTD |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander R Bottini | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Bradley T Smith | Ophthalmology | Retina Consultants Ltd | 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 |
| Daniel Paul Joseph | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Waseem Husain Ansari | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Kevin Jay Blinder | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Sabin Dang | Ophthalmology | Retina Consultants Ltd | 226 S Woods Mill Rd, Suite 50w, Chesterfield, MO 63017-3664 |
| Gautam Vangipuram | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Mark G Grand | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Alia Khan Durrani | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Street Address |
1009 42ND ST SUITE 3 |
| City | MT VERNON |
| State | IL |
| Zip | 62864-6218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas E Engelbrecht | Ophthalmology | Retina Consultants Ltd | 1009 42nd St, Suite 3, Mt Vernon, IL 62864-6218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MT VERNON |
| Zip Code | 62864 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MT VERNON + OPHTHALMOLOGY |
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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.