Keith R Martin (NPI# 1801007190, PAC ID# 6406768829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1801007190 |
| PAC ID by PECOS | 6406768829 |
| Professional Enrollment ID | I20080521000797 |
| Full Name | Keith R Martin |
| Organization Legal Name | FREEPORT REGIONAL HEALTH CARE FOUNDATION |
| Address |
25 N Harlem Ave Fhn Family Healthcare Center Freeport IL 61032-3801 |
| Phone Number | 8155997750 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1988 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9234041682 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140160 | FHN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 | 8155997750 | FREEPORT REGIONAL HEALTH CARE FOUNDATION |
| Organization Legal Name | FREEPORT REGIONAL HEALTH CARE FOUNDATION |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marla J Bagge | Nurse Practitioner | Freeport Regional Health Care Foundation | 2107 Chicago Ave, Savanna, IL 61074-1716 |
| Danielle E Siedschlag | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Mary J Harker | Nurse Practitioner | Freeport Regional Health Care Foundation | 555 W S St, Freeport, IL 61032-6792 |
| Stephanie K Snider | Physical Therapy | Freeport Regional Health Care Foundation | 1763 S Dirck Dr, Freeport, IL 61032-6707 |
| April L Moore | Family Medicine | Freeport Regional Health Care Foundation | 803 S 1st Ave, Fhn Family Healthcare Center, Forreston, IL 61030-9575 |
| Robert Geller | Infectious Disease | Freeport Regional Health Care Foundation | 1045 W Stephenson St, Fhn Family Healthcare Center, Freeport, IL 61032-4864 |
| Angela K Conklin | Nurse Practitioner | Freeport Regional Health Care Foundation | 1120 Healthcare Dr, Mount Carroll, IL 61053-1461 |
| Tracy L Dysard | Nurse Practitioner | Freeport Regional Health Care Foundation | 3001 Highland View Dr, Freeport, IL 61032-6942 |
| Renu Dosi | Internal Medicine | Freeport Regional Health Care Foundation | 1010 Fairway Dr, Freeport, IL 61032-9998 |
| Shannon K Lizer | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Street Address |
25 N HARLEM AVE FHN FAMILY HEALTHCARE CENTER |
| City | FREEPORT |
| State | IL |
| Zip | 61032-3801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle E Siedschlag | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Farouk F Isawi | Gynecological Oncology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Sara E Smith | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Linda H Holt | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Seema Kumar | Neurology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Ruhee K Sidhu | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Cheryl Gertsch | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Hanny Isawi | Ophthalmology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Melody J Cates | Nurse Practitioner | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Alyssa Vandyk | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon K Lizer | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Elizabeth Myers | Nurse Practitioner | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Michael Robert Perry | Internal Medicine | Freeport Regional Health Care Foundation | 10 W Linden St, Fhn Community Hcc, Freeport, IL 61032-3310 |
| Shyrlena L Bogard | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Fhn Family Healthcare Center, Freeport, IL 61032-3801 |
| Shannon L Watley | Obstetrics/gynecology | Freeport Regional Health Care Foundation | 25 N Harlem Ave, Freeport, IL 61032-3801 |
| Tara H Theisen | Chiropractic | David Low Back Center Dc | 1019 W Galena Ave, Freeport, IL 61032-3819 |
| Paul M Theisen | Chiropractic | David Low Back Center Dc | 1019 W Galena Ave, Freeport, IL 61032-3819 |
| Lori Danielle Kintzel | Chiropractic | 888 W Galena Ave, Freeport, IL 61032-3974 | |
| Misty Dehaven | Nurse Practitioner | Jane Addams Community Mental Health Center | 421 W Exchange St, Freeport, IL 61032-4030 |
| Natalie M Beck | Clinical Social Worker | Jane Addams Community Mental Health Center | 421 W Exchange St, Freeport, IL 61032-4030 |
| Find all physicians in zip 61032 | |||
| City | FREEPORT |
| Zip Code | 61032 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | FREEPORT + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Keith R Martin.
| 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.