Deanna Lord (NPI# 1164497095, PAC ID# 9739268715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1164497095 |
PAC ID by PECOS | 9739268715 |
Professional Enrollment ID | I20080501000458 |
Full Name | Deanna Lord |
Organization Legal Name | SAUK PRAIRIE HEALTHCARE INC |
Address |
160 Valley Dr Lodi WI 53555-1464 |
Phone Number | 6085923296 |
Gender | F |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 1989 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 8224948054 |
Number of Group Practice Members | 61 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520095 | SAUK PRAIRIE HOSPITAL |
Address | Phone | Organization |
---|---|---|
160 Valley Dr, Lodi, WI 53555-1464 | 6085923296 | SAUK PRAIRIE HEALTHCARE INC |
Organization Legal Name | SAUK PRAIRIE HEALTHCARE INC |
Physicians | 62 |
Name | Specialty | Organization | Address |
---|---|---|---|
Agnes M Kanikula | Physician Assistant | Sauk Prairie Healthcare Inc | 825 Main St, Plain, WI 53577-9668 |
Ellen O Wermuth | Family Medicine | Sauk Prairie Healthcare Inc | 436 Sunrise Dr, Spring Green, WI 53588-9286 |
Curtis N Johnson | Certified Registered Nurse Anesthetist (crna) | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Christine J Van Dyke | Physician Assistant | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Arnold N Rosenthal | Orthopedic Surgery | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Jo Ellen E Frawley | Nurse Practitioner | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Morgan C Hormig | Physician Assistant | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
David E Sisbach | Certified Registered Nurse Anesthetist (crna) | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Michael D C Lamson | Orthopedic Surgery | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Sarah B Hittner | Physician Assistant | Sauk Prairie Healthcare Inc | 260 26th St, Prairie Du Sac, WI 53578-2203 |
Street Address |
160 VALLEY DR |
City | LODI |
State | WI |
Zip | 53555-1464 |
Name | Specialty | Organization | Address |
---|---|---|---|
David J Eberdt | Physician Assistant | Sauk Prairie Healthcare Inc | 160 Valley Dr, Lodi, WI 53555-1464 |
Rian J Podein | Family Medicine | Sauk Prairie Healthcare Inc | 160 Valley Dr, Lodi, WI 53555-1464 |
David P Krey | Family Medicine | Sauk Prairie Healthcare Inc | 160 Valley Dr, Lodi, WI 53555-1464 |
Karen M Meng | Nurse Practitioner | Sauk Prairie Healthcare Inc | 160 Valley Dr, Lodi, WI 53555-1464 |
Andrea Chao | Pediatric Medicine | Sauk Prairie Healthcare Inc | 160 Valley Dr, Lodi, WI 53555-1464 |
Name | Specialty | Organization | Address |
---|---|---|---|
Luis J Trujillo | Internal Medicine | Dean Health Systems Inc | 700 Clark St, Lodi, WI 53555-1010 |
Andrea J Rock | Pediatric Medicine | Dean Health Systems Inc | 700 Clark St, Lodi, WI 53555-1010 |
Amber Lyn Brenda Bittner | Chiropractic | 154 Lodi St, Lodi, WI 53555-1217 | |
Ronald B Johnson | Psychologist, Clinical | 336 Lodi St, Lodi, WI 53555-1418 |
City | LODI |
Zip Code | 53555 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | LODI + PHYSICIAN ASSISTANT |
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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.