Perry S Damian (NPI# 1255513529, PAC ID# 5496825382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1255513529 |
| PAC ID by PECOS | 5496825382 |
| Professional Enrollment ID | I20161216000973 |
| Full Name | Perry S Damian |
| Organization Legal Name | KSB MEDICAL GROUP INC |
| Address |
1307 W Washington St Oregon IL 61061-1001 |
| Phone Number | 8158573044 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY 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 |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 800 E 55th St, Chicago, IL 60615-4906 | 7737022193 | FRIEND FAMILY HEALTH CENTER INC |
| 3715 Union Rd, Gastonia, NC 28056-8044 | 7048548202 | CAROLINAS PHYSICIANS NETWORK INC |
| 1307 W Washington St, Oregon, IL 61061-1001 | 8158573044 | 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 |
| 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 |
| Audra D Washo | Nurse Practitioner | Ksb Medical Group Inc | 403 E 1st St, Dixon, IL 61021-3116 |
| Street Address |
1307 W WASHINGTON ST |
| City | OREGON |
| State | IL |
| Zip | 61061-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Ries | Nurse Practitioner | Ksb Medical Group Inc | 1307 W Washington St, Oregon, IL 61061-1001 |
| Gregory D Reckamp | Family Medicine | Ksb Medical Group Inc | 1307 W Washington St, Oregon, IL 61061-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Bailey | Podiatry | 1307 Washington St, Suite 100, Oregon, IL 61061-1001 | |
| Jeffrey R Cates | Chiropractic | 200 N 6th St, Oregon, IL 61061-1304 | |
| Carri E Anderson | Chiropractic | Alpine Chiropractic and Natural Medicine, P.C. | 101 N 4th St A, Oregon, IL 61061-1430 |
| Seth E Anderson | Chiropractic | Alpine Chiropractic and Natural Medicine, P.C. | 101 N 4th St A, Oregon, IL 61061-1430 |
| Quinn L Judge | Optometry | Northwest Eyecare PC | 314 W Washington St, Oregon, IL 61061-1622 |
| Amanda J Stott | Optometry | Northwest Eyecare PC | 314 W Washington, Oregon, IL 61061-1636 |
| Chad M Parks | Optometry | Northwest Eyecare PC | 314 W Washington, Oregon, IL 61061-1636 |
| Margaret Ann White | Nurse Practitioner | 1658 S Il Route 2, Oregon, IL 61061-9514 |
| City | OREGON |
| Zip Code | 61061 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OREGON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Perry S Damian.
| 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.