Benjamin Keith Gudorf (NPI# 1740704857, PAC ID# 7113254392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1740704857 |
| PAC ID by PECOS | 7113254392 |
| Professional Enrollment ID | I20190809002747 |
| Full Name | Benjamin Keith Gudorf |
| Organization Legal Name | VAN WERT MEDICAL SERVICES LTD |
| Address |
506 S Main St Rockford OH 45882-9228 |
| Phone Number | 4193633008 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5799707402 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360071 | VAN WERT COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 506 S Main St, Rockford, OH 45882-9228 | 4193633008 | VAN WERT MEDICAL SERVICES LTD |
| Organization Legal Name | VAN WERT MEDICAL SERVICES LTD |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Robert Stuber | Nurse Practitioner | Van Wert Medical Services Ltd | 214 Town Ctr Blvd, Van Wert, OH 45891-9086 |
| Kristen R Dunlap | Nurse Practitioner | Van Wert Medical Services Ltd | 140 Fox Rd, Suite 303, Van Wert, OH 45891-2496 |
| Christopher M Halasy | Family Medicine | Van Wert Medical Services Ltd | 290 E 3rd St, Ottoville, OH 45876-0249 |
| Charles J Hoehn | Podiatry | Van Wert Medical Services Ltd | 1250 S Washington St, Van Wert County Hospital, Van Wert, OH 45891-2551 |
| Alberto Jose Delgado | Obstetrics/gynecology | Van Wert Medical Services Ltd | 1250 S Washington St, Van Wert County Hospital, Van Wert, OH 45891-2551 |
| Matthew W Miller | Family Medicine | Van Wert Medical Services Ltd | 1250 S Washington St, Van Wert County Hospital, Van Wert, OH 45891-2551 |
| Rona Marie Dellinger | Nurse Practitioner | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| Lawrence Monger Jr. | Internal Medicine | Van Wert Medical Services Ltd | 140 Fox Rd, Suite 105, Van Wert, OH 45891-2490 |
| Jeremy Lynn Stoller | General Surgery | Van Wert Medical Services Ltd | 140 Fox Rd, Suite 401, Van Wert, OH 45891-3406 |
| Allison R Harting | Nurse Practitioner | Van Wert Medical Services Ltd | 1250 S Washington St, Van Wert County Hospital, Van Wert, OH 45891-2551 |
| Street Address |
506 S MAIN ST |
| City | ROCKFORD |
| State | OH |
| Zip | 45882-9228 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F. Yusuf Q. Erskine | Osteopathic Manipulative Medicine | Northern California Medical Assoc Inc | 506 S Main St, Sebastopol, CA 95472-4261 |
| Rona Marie Dellinger | Nurse Practitioner | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| Roxanna M Torres-santiago | Obstetrics/gynecology | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| Mary E Cole | Nurse Practitioner | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| Jerry Dwight Sell | Family Medicine | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| Lisa Renee Rolfes | Nurse Practitioner | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| Harold S Edmiston | Family Medicine | Van Wert Medical Services Ltd | 506 S Main St, Rockford, OH 45882-9228 |
| City | ROCKFORD |
| Zip Code | 45882 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROCKFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Benjamin Keith Gudorf.
| 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.