Juan C Hernandez (NPI# 1780650176, PAC ID# 3577500503) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780650176 |
| PAC ID by PECOS | 3577500503 |
| Professional Enrollment ID | I20050412000518 |
| Full Name | Juan C Hernandez |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Address |
320 N 1st St Ashton IL 61006-9432 |
| Phone Number | 8154521212 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7911890009 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140012 | KATHERINE SHAW BETHEA HOSPITAL |
| 140043 | CGH MEDICAL CENTER |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 320 N 1st St, Ashton, IL 61006-9432 | 8154521212 | KSB MEDICAL GROUP INC |
| 215 E 1st St, Suite 101, Dixon, IL 61021-3169 | 8152855973 | KSB MEDICAL GROUP INC |
| 215 E 1st St, Dixon, IL 61021-3175 | KSB MEDICAL GROUP INC |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Physicians | 70 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee V Murrin | Nurse Practitioner | Ksb Medical Group Inc | 305 Joe Dr W, Amboy, IL 61310-9001 |
| Perry S Damian | Family Medicine | Ksb Medical Group Inc | 1307 W Washington St, Oregon, IL 61061-1001 |
| Joyce Johnson | Family Medicine | Ksb Medical Group Inc | 102 S Hennepin Ave, Dixon, IL 61021-3013 |
| Adnan A Muhsin | Internal Medicine | Ksb Medical Group Inc | 144 N Court St, Dixon, IL 61021-1224 |
| Waseem Ahmad | Neurology | Ksb Medical Group Inc | 215 E 1st St, Suite 111, Dixon, IL 61021-3175 |
| Jill C Obrien | Nurse Practitioner | Ksb Medical Group Inc | 405 Charles St, Mount Morris, IL 61054-1646 |
| David J Powers | General Surgery | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Saad Y Blaney | Pathology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Kyle D Swanson | Podiatry | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Russell J Bodner | Orthopedic Surgery | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Street Address |
320 N 1ST ST |
| City | ASHTON |
| State | IL |
| Zip | 61006-9432 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Powers | General Surgery | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Saad Y Blaney | Pathology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Courtney M Duffy | Certified Nurse Midwife (cnm) | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Eric E Simpson | Urology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Della D Croft | Physician Assistant | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Brandon R Gumbiner | Podiatry | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Matthew T Hefty | General Surgery | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Stephen D Gabriel | Orthopedic Surgery | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Emilee J Bocker | Family Medicine | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Kelly L Klein | Optometry | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carson W Andrew | Physician Assistant | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Courtney L Teller | Physician Assistant | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Fadi M Mustapha | Gastroenterology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Mindy M Nesemeier | Nurse Practitioner | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Tammy J Homman | Family Medicine | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Bridgette A Woodall | Nurse Practitioner | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| William P Long | Obstetrics/gynecology | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Taylor B Carroll | Nurse Practitioner | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Mark Myers | Family Medicine | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Poonam Sachdev | Family Medicine | Ksb Medical Group Inc | 320 N 1st St, Ashton, IL 61006-9432 |
| Find all physicians in zip 61006 | |||
| City | ASHTON |
| Zip Code | 61006 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ASHTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Juan C Hernandez.
| 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.