Ronald Champagne (NPI# 1306884622, PAC ID# 4880718725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1306884622 |
| PAC ID by PECOS | 4880718725 |
| Professional Enrollment ID | I20100830001061 |
| Full Name | Ronald Champagne |
| Organization Legal Name | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Address |
210 W Walnut St Canton IL 61520-2444 |
| Phone Number | 3096475240 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 1995 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 1254228711 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140001 | GRAHAM HOSPITAL ASSOCIATION |
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140120 | PEKIN MEMORIAL HOSPITAL |
| 140013 | PROCTOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 5637422724 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| 210 W Walnut St, Canton, IL 61520-2444 | 3096475240 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| 615 N Promenade St, Havana, IL 62644-1243 | 3095434431 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| 600 S 13th St, Pekin, IL 61554-4936 | 3093471151 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 3096911000 | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Organization Legal Name | PEORIA TAZEWELL PATHOLOGY GROUP, S.C. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew B Armstrong | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Pamela P Goodell | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Fredrick D Oakley | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Michael D Spears | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Katherine A Kasper | Pathology | Peoria Tazewell Pathology Group, S.c. | 5409 N Knoxville Ave, Peoria, IL 61614-5069 |
| Brandy R Pownell | Pathology | Peoria Tazewell Pathology Group, S.c. | 5409 N Knoxville Ave, Peoria, IL 61614-5069 |
| Adam M Quinn | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Lily Tran | Pathology | Peoria Tazewell Pathology Group, S.c. | 600 S 13th St, Pekin, IL 61554-4936 |
| Horea A Baila | Pathology | Peoria Tazewell Pathology Group, S.c. | 221 Neglen Oak Ave, Peoria, IL 61636-4310 |
| Wei Liu | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Street Address |
210 W WALNUT ST |
| City | CANTON |
| State | IL |
| Zip | 61520-2444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen K Savegnago | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Samuel S Mortoti | Cardiovascular Disease (cardiology) | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Joshua D Bowers | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Omer M Aker | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 210 W Walnut St, Canton, IL 61520-2444 |
| Ramayya R Gowda | Thoracic Surgery | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Benjamin W Phillips | Internal Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Ekanka Mukhopadhyay | Interventional Cardiology | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Angela J Holthaus | Certified Registered Nurse Anesthetist (crna) | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Stephen C Kurtz | Interventional Cardiology | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Andrew T Roudebush | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Morse Ii | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2076 N Main St, Canton, IL 61520-1054 |
| Erin Md Martin | Family Medicine | Iowa Physicians Clinic Medical Foundation | 2076 N Main St, Canton, IL 61520-1054 |
| Candy S Johnson | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 2076 N Main St, Canton, IL 61520-1054 |
| Rebecca L Burgard | Physical Therapy | Rock Valley Physical Therapy Center | 370 N Main St, Canton, IL 61520-1826 |
| Adam Arthur Hanes | Physical Therapy | 486 N Main St, Canton, IL 61520-1828 | |
| Mark J Hsu | Cardiovascular Disease (cardiology) | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Todd A Lanser | Family Medicine | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Keattiyoat Wattanakit | Cardiovascular Disease (cardiology) | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Samuel J Rickerl | Obstetrics/gynecology | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Joshua J Wilkinson | Nurse Practitioner | Graham Hospital Association | 210 W Walnut St, Canton, IL 61520-2444 |
| Find all physicians in zip 61520 | |||
| City | CANTON |
| Zip Code | 61520 |
| Specialty | PATHOLOGY |
| City + Specialty | CANTON + PATHOLOGY |
Please comment or provide details below to improve the information on Ronald Champagne.
| 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.