Kenneth W Fraser (NPI# 1194826115, PAC ID# 6406768795) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1194826115 |
| PAC ID by PECOS | 6406768795 |
| Professional Enrollment ID | I20110812000672 |
| Full Name | Kenneth W Fraser |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Address |
1401 E 12th St Mendota IL 61342-9216 |
| Phone Number | 8155397461 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436061827 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 140064 | ST MARY MEDICAL CENTER |
| 141325 | OSF SAINT LUKES MEDICAL CENTER |
| 141310 | OSF SAINT PAUL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3315 N Seminary St, Galesburg, IL 61401-1251 | 3093441000 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 3333 N Seminary St, Galesburg, IL 61401-1251 | 3093443161 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1401 E 12th St, Mendota, IL 61342-9216 | 8155397461 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 435 Maxine Dr, Morton, IL 61550-2498 | 3092632424 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 | 3097404270 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 221 Ne Glen Oak, Methodist Medical Center, Peoria, IL 61636-0001 | 3096725522 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 3096832428 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 530 Neglen Oak Ave, Peoria, IL 61636-0001 | 3096552000 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 2500 W Reynolds St, Pontiac, IL 61764-9774 | 8158422828 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 10 Saint Clare Ct, Washington, IL 61571-9239 | 3095664062 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 88% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 89% |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Alexander Roman Oshmyansky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 8712 W Fair Dr, Littleton, CO 80123-3229 |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Leon J Wise | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Grace A Tye | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 956 Calle Santa Cruz, Encinitas, CA 92024-6609 |
| Hugh Mcswain | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 31 Dorset Ln, Mill Valley, CA 94941-5203 |
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Street Address |
1401 E 12TH ST |
| City | MENDOTA |
| State | IL |
| Zip | 61342-9216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine R Riva Foster | Certified Registered Nurse Anesthetist (crna) | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Robert W Schmidt | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 1401 E 12th St, Mendota, IL 61342-9216 |
| Kim Veronica Arellano Villarreal | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 1401 E 12th St, Mendota, IL 61342-9216 |
| Christopher J Differding | Physician Assistant | Illinois Urologic Health Surgeons Sc | 1401 E 12th St, Mendota, IL 61342-9216 |
| Kenneth K Potts | Certified Registered Nurse Anesthetist (crna) | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Amy M Matheis Soliman | Family Medicine | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Leonardo Lopez | Family Medicine | Mendota Community Hospital | 1401 E 12th St, Mendota, IL 61342-9216 |
| Michael T Zagardo | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 1401 E 12th St, Mendota, IL 61342-9216 |
| Mark H Goergen | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 1401 E 12th St, Mendota, IL 61342-9216 |
| Jessica A Guingrich | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 1401 E 12th St, Mendota, IL 61342-9216 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linnea L Person | Chiropractic | 1301 14th Ave, Mendota, IL 61342-1001 | |
| Cynthia A Becker | Chiropractic | 1403 E Main St, Mendota, IL 61342-1077 | |
| Donald W Piller | Chiropractic | 1312 Lakewood Dr, Mendota, IL 61342-1096 | |
| Tara N Vandewyngaerde | Optometry | 700 14th Ave, Mendota, IL 61342-1412 | |
| Mary M Chinn | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Zachary J Fulton | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Joy R Preciado | Nurse Practitioner | Community Health Partnership of Illinois | 1009 Main St, Mendota, IL 61342-1604 |
| Rebecca J Amble | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Dawn H Mccollom | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Mary A Liddle | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Mendota, IL 61342-1682 |
| Find all physicians in zip 61342 | |||
| City | MENDOTA |
| Zip Code | 61342 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MENDOTA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kenneth W Fraser.
| 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.