Terrence D Wilkin (NPI# 1982656963, PAC ID# 0941228340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1982656963 |
| PAC ID by PECOS | 0941228340 |
| Professional Enrollment ID | I20120216000182 |
| Full Name | Terrence D Wilkin |
| Organization Legal Name | NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP |
| Address |
611 E Douglas Rd Suite 122 Mishawaka IN 46545-1464 |
| Phone Number | 5743356218 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6709780802 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150012 | SAINT JOSEPH REGIONAL MEDICAL CENTER |
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1020 High Rd, Bremen, IN 46506-1093 | 5745468010 | X-RAY CONSULTANTS INC |
| 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 | 5743355000 | X-RAY CONSULTANTS INC |
| 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 | 5743356218 | NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP |
| 611 E Douglas Rd, 128 St Joseph Health System Wound Healing Ctr, Mishawaka, IN 46545-1464 | 5743356210 | X-RAY CONSULTANTS INC |
| 611 E Douglas Rd, Mishawaka, IN 46545-1465 | X-RAY CONSULTANTS INC | |
| 1915 Lake Ave, Plymouth, IN 46563-9366 | 5749363181 | X-RAY CONSULTANTS INC |
| 1919 Lake Ave, Suite 107b, Plymouth, IN 46563-7830 | X-RAY CONSULTANTS INC | |
| 121 S Saint Louis Blvd, South Bend, IN 46617-2924 | 2192333123 | X-RAY CONSULTANTS INC |
| 17333 Dugdale Dr, South Bend, IN 46635-1500 | 5742729991 | NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 97% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 97% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | NORTHERN INDIANA MAGNETIC RESONANCE CENTER, LLP |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Damien Miller | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Vu Nguyen | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 6901 N Main St, Suite 101, Granger, IN 46530-8022 |
| Brett A Stephens | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 |
| Steven T Gerstler | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 6901 N Main St, Suite 101, Granger, IN 46530-8022 |
| Linda L Tuthill | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 |
| Matthew Richard Gillott | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Edward L Yang | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 6901 N Main St, Suite 101, Granger, IN 46530-8022 |
| Scott J King | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 |
| Ester Petronella J Van Der Wal | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 17333 Dugdale Dr, South Bend, IN 46635-1500 |
| Ryan B Greene | Interventional Radiology | Northern Indiana Magnetic Resonance Center, LLP | 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 |
| Street Address |
611 E DOUGLAS RD SUITE 122 |
| City | MISHAWAKA |
| State | IN |
| Zip | 46545-1464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah N Ortiz | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, Mishawaka, IN 46545-1464 |
| Gina M Connolly | Nurse Practitioner | Beacon Medical Group Inc | 611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465 |
| Charbel F Maskiny | Critical Care (intensivists) | Pulmonary and Critical Care Associates, PC | 611 E Douglas Rd, Suite 309, Mishawaka, IN 46545-1463 |
| Richard A Stoldt | Family Medicine | Saint Joseph Regional Medical Center Inc | 611 E Douglas Rd, 309 Internal Medicine Associates, Mishawaka, IN 46545-1467 |
| Juan Galvan | Nurse Practitioner | Saint Joseph Regional Medical Center Inc | 611 E Douglas Rd, Mishawaka, IN 46545-1467 |
| Stephen Smith | Neurosurgery | Beacon Medical Group Inc | 611 E Douglas Rd, 207 Bmg N Central Neurosugery Mishawaka, Mishawaka, IN 46545-1465 |
| Michele Collins | Family Medicine | Saint Joseph Regional Medical Center South Bend Campus Inc. | 611 E Douglas Rd, 407 Family Medicine Center of Sjrmc, Mishawaka, IN 46545-1468 |
| Ronald King Downs | Plastic and Reconstructive Surgery | The Centre PC | 611 E Douglas Rd, Suite 108, Mishawaka, IN 46545-1464 |
| Brett A Stephens | Diagnostic Radiology | Northern Indiana Magnetic Resonance Center, LLP | 611 E Douglas Rd, Suite 122, Mishawaka, IN 46545-1464 |
| Madeline Louise Ryan | Physician Assistant | Saint Joseph Regional Medical Center Inc | 611 E Douglas Rd, Mishawaka, IN 46545-1465 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marielvea A Banks | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Sean R Horner | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Rami Musleh | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Meghan M Barrus | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Ann M Grubb | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Duane M Wampler | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Eugene Huang | Emergency Medicine | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Steven D Whaley | Anesthesiology | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Angela Blagojevski | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Danny E Winn | Physician Assistant | Pic Indiana PC | 505 W Cleveland Rd, Mishawaka, IN 46545-1003 |
| Find all physicians in zip 46545 | |||
| City | MISHAWAKA |
| Zip Code | 46545 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | MISHAWAKA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Terrence D Wilkin.
| 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.