John J Richard (NPI# 1700865441, PAC ID# 0143321430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1700865441 |
| PAC ID by PECOS | 0143321430 |
| Professional Enrollment ID | I20070731000517 |
| Full Name | John J Richard |
| Organization Legal Name | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| Address |
312 Ctr St Lake Geneva WI 53147-1904 |
| Phone Number | 2622488766 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY |
| Graduation Year | 1993 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 1557462983 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 690 N Route 31, Crystal Lake, IL 60012-3790 | 8154595600 | CRYSTAL LAKE ORAL MAXILLOFACIAL SURGERY LTD |
| 312 Ctr St, Lake Geneva, WI 53147-1904 | 2622488766 | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| Organization Legal Name | LAKE GENEVA ORAL AND MAXILLOFACIAL SURGERY, LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan J Vanoven | Oral Surgery | Lake Geneva Oral and Maxillofacial Surgery, Ltd | 190 Gardner Ave, Suite 8, Burlington, WI 53105-2160 |
| Street Address |
312 CTR ST |
| City | LAKE GENEVA |
| State | WI |
| Zip | 53147-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack B Starkey Jr. | Chiropractic | 312 Ctr St, Ashland, OH 44805-3245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Kaiser | Chiropractic | 790 Gardner St, Lake Geneva, WI 53147-1233 | |
| Mark S Spankowski | Optometry | Family Eye Care of Lake Geneva S.c. | 415 Broad St, Suite 101, Lake Geneva, WI 53147-1800 |
| Katherine D Collins | Clinical Social Worker | 647 W Main St, Suite 900, Lake Geneva, WI 53147-1985 | |
| Ferdinand P Catotal | Nurse Practitioner | Jep Healthcare Provider LLC | 211 S Curtis St, Lake Geneva, WI 53147-2052 |
| Rita Gilpatrick | Nurse Practitioner | 211 S Curtis St, Lake Geneva, WI 53147-2052 | |
| Duanne J Lafrenz | Clinical Social Worker | 101 Broad St, Suite 201, Lake Geneva, WI 53147-2061 | |
| Franklin M Bodnar | Chiropractic | Lake Geneva Chiropractic | 612 S Wells St C, Lake Geneva, WI 53147-2159 |
| Brad L Christensen | Chiropractic | Lake Geneva Chiropractic Partners | 612 S Wells St, Suite C, Lake Geneva, WI 53147-2159 |
| Jeffrey G Buntrock | Chiropractic | Lake Geneva Chiropractic Partners | 612 S Wells St, Suite C, Lake Geneva, WI 53147-2159 |
| Karina L Quinn | Plastic and Reconstructive Surgery | Mercy Health System Corporation | N2950 State Rd, Suite 67, Lake Geneva, WI 53147-2655 |
| Find all physicians in zip 53147 | |||
| City | LAKE GENEVA |
| Zip Code | 53147 |
| Specialty | ORAL SURGERY |
| City + Specialty | LAKE GENEVA + ORAL SURGERY |
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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.