Myron B Stachniw (NPI# 1114911377, PAC ID# 6103838867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1114911377 |
| PAC ID by PECOS | 6103838867 |
| Professional Enrollment ID | I20060620000182 |
| Full Name | Myron B Stachniw |
| Organization Legal Name | KNOX CLINIC CORP |
| Address |
695 N Kellogg St Galesburg IL 61401-2807 |
| Phone Number | 3093454586 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1973 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 6305813411 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140040 | GALESBURG COTTAGE HOSPITAL |
| 140064 | ST MARY MEDICAL CENTER |
| 140089 | MC DONOUGH DISTRICT HOSPITAL |
| 141318 | OSF HOLY FAMILY MEDICAL CENTER |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 695 N Kellogg St, Galesburg, IL 61401-2807 | 3093454586 | KNOX CLINIC CORP |
| 834 N Seminary St, Suite 102, Galesburg, IL 61401-2897 | 3093420194 | KNOX CLINIC CORP |
| 834 N Seminary St, Galesburg, IL 61401-2899 | KNOX CLINIC CORP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | KNOX CLINIC CORP |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosa Maribel Leland | Nurse Practitioner | Knox Clinic Corp | 2 Americinn Way B, Monmouth, IL 61462-9416 |
| Mark E Davis | General Surgery | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Mark Deyoung | Family Medicine | Knox Clinic Corp | 904 E Main, Galesburg, IL 61401-3954 |
| Robert E Currie | Family Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Carl E Strauch | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 303, Galesburg, IL 61401-2899 |
| Keith E Peachey | Family Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Lorraine A Garland | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 302, Galesburg, IL 61401-2899 |
| Gregory A. Schierer | Orthopedic Surgery | Knox Clinic Corp | 834 N Seminary St, Suite 201, Galesburg, IL 61401-2898 |
| Bethany L Glaser | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-2899 |
| Marc S Katchen | Neurology | Knox Clinic Corp | 765 N Kellogg St, Suite 205, Galesburg, IL 61401-2859 |
| Street Address |
695 N KELLOGG ST |
| City | GALESBURG |
| State | IL |
| Zip | 61401-2807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Linder | Diagnostic Radiology | Specialists In Medical Imaging Sc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Marie Nowak | Emergency Medicine | Nes Michigan Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Andrew B Armstrong | Pathology | Peoria Tazewell Pathology Group, S.c. | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| David J Nowak | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Jeffrey B Dubnow | Emergency Medicine | Nes Michigan Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Nareel Siddiqui | Family Medicine | Hospital Care Consultants of Galesburg Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Sameer Tapryal | Hospitalist | Hospital Care Consultants of Galesburg Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Brenda Hawk | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Thomas J Singel Ii | Emergency Medicine | Nes Michigan Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Zachary A Miksanek | Emergency Medicine | Nes Michigan Inc | 695 N Kellogg St, Galesburg, IL 61401-2807 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise M Johnson Dechow | Psychiatry | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Yekaterina Fayn | Internal Medicine | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Tyson R Kinnick | Physician Assistant | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Harsha S Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Suite 404, Galesburg, IL 61401-0500 |
| Shrikant A Mehta | Family Practice | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0500 |
| Mark E Davis | General Surgery | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Kimberly A Cheek | Nurse Practitioner | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Amy Mefford | Certified Nurse Midwife | Knox Clinic Corp | 834 N Seminary, Suite 501, Galesburg, IL 61401-0501 |
| Daniel K Piper | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Suite 502, Galesburg, IL 61401-0501 |
| Yufan Chen | Obstetrics/gynecology | Knox Clinic Corp | 834 N Seminary St, Galesburg, IL 61401-0501 |
| Find all physicians in zip 61401 | |||
| City | GALESBURG |
| Zip Code | 61401 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GALESBURG + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Myron B Stachniw.
| 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.