Jennifer G Tomelden
SODERSTROM DERMATOLOGY CENTER S C


Address: 2200 Marquette Rd, Peru, IL 61354-1547
Phone: 8152247400

Jennifer G Tomelden (NPI# 1285961052, PAC ID# 0547483596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1285961052
PAC ID by PECOS 0547483596
Professional Enrollment ID I20140521000951
Full Name Jennifer G Tomelden
Organization Legal Name SODERSTROM DERMATOLOGY CENTER S C
Address 2200 Marquette Rd
Peru
IL 61354-1547
Phone Number 8152247400
Gender F
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 2062432651
Number of Group Practice Members 18
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140209 METHODIST MEDICAL CENTER OF ILLINOIS
140067 OSF SAINT FRANCIS MEDICAL CENTER

Other Locations

Address Phone Organization
60 S Soangetaha Rd, Galesburg, IL 61401-7524 3093445777 SODERSTROM DERMATOLOGY CENTER S C
2100 Jacobssen Dr, Normal, IL 61761-2499 3092689980 SODERSTROM DERMATOLOGY CENTER S C
4909 N Glen Park Place Rd, Peoria, IL 61614-4676 3096747546 SODERSTROM DERMATOLOGY CENTER S C
2200 Marquette Rd, Peru, IL 61354-1547 8152247400 SODERSTROM DERMATOLOGY CENTER S C

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_047_overall Care Plan 3%
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 63%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 98%

Organization Information

Organization Legal Name SODERSTROM DERMATOLOGY CENTER S C
Physicians 18

Physicians with the same organization

Name Specialty Organization Address
Nour Almardini Pathology Soderstrom Dermatology Center S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
James M Jeffries Iii Plastic and Reconstructive Surgery Soderstrom Dermatology Center S C 60 S Soangetaha Rd, Galesburg, IL 61401-7524
Carl W Soderstrom Jr. Dermatology Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Stuart H Berryman Physician Assistant Soderstrom Dermatology Center S C 2200 Marquette Rd, Peru, IL 61354-1547
Carissa L Pardekooper Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Joy M Watson Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412
Chen Wang Pathology Soderstrom Dermatology Center S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
John E Lomax Plastic and Reconstructive Surgery Soderstrom Dermatology Center S C 4909 N Glen Park Place Rd, Peoria, IL 61614-4676
Michelle L Roth Physician Assistant Soderstrom Dermatology Center S C 60 S Soangetaha Rd, Galesburg, IL 61401-7524
Katherine E Shindelar Physician Assistant Soderstrom Dermatology Center S C 2315 Roosevelt St, Clinton, IA 52732-2412

Office Location

Street Address 2200 MARQUETTE RD
City PERU
State IL
Zip 61354-1547

Physicians in the same location

Name Specialty Organization Address
Stuart H Berryman Physician Assistant Soderstrom Dermatology Center S C 2200 Marquette Rd, Peru, IL 61354-1547
Stephanie M Ellis Physician Assistant Soderstrom Dermatology Center S C 2200 Marquette Rd, Peru, IL 61354-1547
Sondra Lanelle Blocki Physical Therapy 2200 Marquette Rd, Suite 111, Peru, IL 61354-1569

Physicians in the same zip code

Name Specialty Organization Address
Dotun I Oyedijo Radiation Oncology 4391 Venture Dr, Peru, IL 61354-1018
Joseph B Jackson Optometry Jak Enterprises Inc 3323 Frontage Rd, Peru, IL 61354-1101
David J Coynik Dermatology David J Coynik, Md,pc 4413 Progress Blvd, Peru, IL 61354-1109
Dale R Chilson Otolaryngology St. Margarets Hospital 4040 Progress Blvd, Peru, IL 61354-1124
Katrina Mcquilkin Chiropractic 3815 Progress Blvd, Suite C, Peru, IL 61354-1188
Bulent Mamikoglu Otolaryngology 4231 Progress Blvd, Suite 2, Peru, IL 61354-1193
Rakesh K Garg Neurology 4231 Progress Blvd, Peru, IL 61354-1193
Angela Benavides Neurology St. Margarets Hospital 1400 Midtown Plaza, Peru, IL 61354-1269
Lacey M Strack Physician Assistant St. Margarets Hospital 1650 Midtown Rd, Peru, IL 61354-1274
Rachel L Colby Physician Assistant St. Margarets Hospital 1650 Midtown Rd, Peru, IL 61354-1274
Find all physicians in zip 61354

Competitor

Search similar physicians

City PERU
Zip Code 61354
Specialty PHYSICIAN ASSISTANT
City + Specialty PERU + PHYSICIAN ASSISTANT

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Dataset Information

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.

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