Jeffrey Franklin Willard (NPI# 1245713031, PAC ID# 2365796497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245713031 |
| PAC ID by PECOS | 2365796497 |
| Professional Enrollment ID | I20181108001217 |
| Full Name | Jeffrey Franklin Willard |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Address |
7910 W Jefferson Blvd Fort Wayne IN 46804-4159 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4981751617 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| Address | Phone | Organization |
|---|---|---|
| 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2604346076 | LUTHERAN MEDICAL GROUP LLC |
| 7910 W Jefferson Blvd, Fort Wayne, IN 46804-4159 | LUTHERAN MEDICAL GROUP LLC |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Physicians | 216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
| David C. Cronin | General Surgery | Lutheran Medical Group LLC | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 |
| George Steven Kalesperis | Family Medicine | Lutheran Medical Group LLC | 6511 E State Blvd, Fort Wayne, IN 46815-7026 |
| Ann R. Moore | Nurse Practitioner | Lutheran Medical Group LLC | 303 S Main St, Bluffton Regional Hospital, Bluffton, IN 46714-2503 |
| Stephanie A Clouse | Nurse Practitioner | Lutheran Medical Group LLC | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Nicole Sanderson | Nurse Practitioner | Lutheran Medical Group LLC | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
| Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
| Ibad Ul-haq Farooqui | Family Medicine | Lutheran Medical Group LLC | 402 E Main St, Fort Wayne, IN 46802-1910 |
| Christine Springer | Nurse Practitioner | Lutheran Medical Group LLC | 10429 Hosler Rd, Leo, IN 46765-9739 |
| Leia A Becktell | Nurse Practitioner | Lutheran Medical Group LLC | 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 |
| Street Address |
7910 W JEFFERSON BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-4159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Sobieck | Nurse Practitioner | Physical Medicine Consultants LLC | 7910 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4159 |
| Tina J Hermes | Nurse Practitioner | Physical Medicine Consultants LLC | 7910 W Jefferson Blvd, Suite 300, Fort Wayne, IN 46804-4159 |
| Leann E Guerra | Nurse Practitioner | Lutheran Medical Group LLC | 7910 W Jefferson Blvd, Suite 112, Fort Wayne, IN 46804-4159 |
| Ryan A Gonzales | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Rao Vp Mantravadi | Radiation Oncology | Radiation Oncology Associates, PC | 7910 W Jefferson Blvd, Suite 110, Fort Wayne, IN 46804-4159 |
| Guinevere M Nilles | Physician Assistant | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Shalini Chitneni | Hematology/oncology | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Shelley D Seabolt | Nurse Practitioner | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Mark C Ranck | Radiation Oncology | Radiation Oncology Associates, PC | 7910 W Jefferson Blvd, Suite 110, Fort Wayne, IN 46804-4159 |
| Margaret A Rodenbeck | Nurse Practitioner | Fort Wayne Medical Oncology and Hematology Inc | 7910 W Jefferson Blvd, Suite 108, Fort Wayne, IN 46804-4159 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WAYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jeffrey Franklin Willard.
| 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.