Kristina K Bradford (NPI# 1023441904, PAC ID# 6406086057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023441904 |
| PAC ID by PECOS | 6406086057 |
| Professional Enrollment ID | I20140228000021 |
| Full Name | Kristina K Bradford |
| Organization Legal Name | TOOFAN MEDICAL HOLDINGS LTD |
| Address |
1001 Ave of Mid America Suite 4 Effingham IL 62401-4634 |
| Phone Number | 2179949301 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800026006 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 | 2179949301 | TOOFAN MEDICAL HOLDINGS LTD |
| Organization Legal Name | TOOFAN MEDICAL HOLDINGS LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brennan Robert Malham | Physician Assistant | Toofan Medical Holdings Ltd | 20 Corvette Dr, Suite A, Litchfield, IL 62056-1038 |
| Frank Kolovrat Jr | Physician Assistant | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Matthew K Woodruff | Physician Assistant | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Emily Elizabeth Schultz | Nurse Practitioner | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Angela K Anselm | Nurse Practitioner | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Melissa K Lee | Nurse Practitioner | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Alan William Mcmullin | Physician Assistant | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Street Address |
1001 AVE OF MID AMERICA SUITE 4 |
| City | EFFINGHAM |
| State | IL |
| Zip | 62401-4634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Kolovrat Jr | Physician Assistant | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Matthew K Woodruff | Physician Assistant | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Emily Elizabeth Schultz | Nurse Practitioner | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Angela K Anselm | Nurse Practitioner | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Melissa K Lee | Nurse Practitioner | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Alan William Mcmullin | Physician Assistant | Toofan Medical Holdings Ltd | 1001 Ave of Mid America, Suite 4, Effingham, IL 62401-4634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Rhodes | Chiropractic | 200 E Fayette Ave, Effingham, IL 62401-0022 | |
| Lenora M Drees | Nurse Practitioner | Family Care Associates of Effingham, S.c. | 1106 N Merchant St Po Box, Suite 665, Effingham, IL 62401-0665 |
| P Dharmadev D Nayak | Urology | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Angela D Yocom | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Alicia J Davis | Nurse Practitioner | Effingham Urology Associates Sc | 414 W Virginia Ave, Effingham, IL 62401-1169 |
| Karl S. Rudert | Emergency Medicine | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Suite 101, Effingham, IL 62401-1619 |
| Christopher P Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Anthony R Weber | Optometry | Weber Optiks Inc | 1301 W Evergreen Ave, Suite B, Effingham, IL 62401-1634 |
| Frank S Lee | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Joseph M Ajdinovich | Orthopedic Surgery | Bonutti Orthopedic Services Ltd | 1303 W Evergreen Ave, Effingham, IL 62401-1638 |
| Find all physicians in zip 62401 | |||
| City | EFFINGHAM |
| Zip Code | 62401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | EFFINGHAM + NURSE PRACTITIONER |
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| 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.