Kevin Francis Oconnor Sr. (NPI# 1932153046, PAC ID# 7416947585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1932153046 |
| PAC ID by PECOS | 7416947585 |
| Professional Enrollment ID | I20040512001421 |
| Full Name | Kevin Francis Oconnor Sr. |
| Organization Legal Name | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Address |
1260 E State Rd Suite 205 Columbia City IN 46725-9492 |
| Phone Number | 2602489000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 5294624060 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150021 | PARKVIEW REGIONAL MEDICAL CENTER |
| 150146 | PARKVIEW NOBLE HOSPITAL |
| 150101 | PARKVIEW WHITLEY HOSPITAL |
| 151310 | PARKVIEW WABASH HOSPITAL, INC |
| 150091 | PARKVIEW HUNTINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 442 W High St, Bryan, OH 43506-1681 | 4196364517 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 | 2602489000 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2602661000 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 11141 Parkview Plaza Dr, Suite 100, Fort Wayne, IN 46845-1714 | 2602669030 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 2200 Randallia Dr, Fort Wayne, IN 46805-4638 | 2603734000 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 401 N Sawyer Rd, Kendallville, IN 46755-2568 | 2603478700 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 207 N Towline Rd, Lagrange, IN 46761-1325 | 2604639000 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| 1035 W Wayne St, Paulding, OH 45879-1544 | 4193994080 | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 96% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 94% |
| Organization Legal Name | FORT WAYNE RADIOLOGY ASSOCIATES LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Michael Gregory | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1355 Mariners Dr, Warsaw, IN 46582-7145 |
| Christopher Michael Wing | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Benjamin J Moreno | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Melissa Sue Bosma | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 433 W High St, Bryan, OH 43506-1679 |
| William Cohee Petty | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Matthew W Hasselman | Physician Assistant | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Brad M Johnston | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Mitchell E Travis | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 |
| David Keith Powell | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 416 E Maumee St, Angola, IN 46703-2015 |
| Ronald J Douglas | Physician Assistant | Fort Wayne Radiology Associates LLC | 2200 Randallia Dr, Fort Wayne, IN 46805-4638 |
| Street Address |
1260 E STATE RD SUITE 205 |
| City | COLUMBIA CITY |
| State | IN |
| Zip | 46725-9492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Michael Wing | Diagnostic Radiology | Fort Wayne Radiology Associates LLC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Tracy R Rahall | Emergency Medicine | Professional Emergency Physicians PC | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Jeffery Knisley | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Oleg V Korolev | Anesthesiology | Clinical Colleagues Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Michael E Myers | Emergency Medicine | Professional Emergency Physicians Inc | 1260 E State Rd, Suite 205, Columbia City, IN 46725-9492 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Lynn Kirgis | Chiropractic | 695 N Opportunity Dr, Columbia City, IN 46725-1041 | |
| Lori M Kirgis | Chiropractic | Whitley Chiropractic and Wellness Center | 695 N Opportunity Dr, Columbia City, IN 46725-1041 |
| Braion Chapman | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Whitney Miller | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Jessica Shaye Proxmire | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Cindi Urick-greer | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Parkview Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Renee Grant | Nurse Practitioner | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Margery Ann Gordon | Family Medicine | Parkview Health System Inc | 885 W Connexion Way, 200 Whitley After Hours Clinic, Columbia City, IN 46725-1045 |
| Gerry S Easterday | Emergency Medicine | Parkview Health System Inc | 885 W Connexion Way, Columbia City, IN 46725-1045 |
| Andrew B Hogue | Optometry | 513 N Line St, Columbia City, IN 46725-1229 | |
| Find all physicians in zip 46725 | |||
| City | COLUMBIA CITY |
| Zip Code | 46725 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | COLUMBIA CITY + DIAGNOSTIC RADIOLOGY |
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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.