Susan K Boland (NPI# 1023136512, PAC ID# 7517066814) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1023136512 |
| PAC ID by PECOS | 7517066814 |
| Professional Enrollment ID | I20070627000579 |
| Full Name | Susan K Boland |
| Organization Legal Name | BELOIT HEALTH SYSTEM INC |
| Address |
1735 Madison Rd Beloit WI 53511-3216 |
| Phone Number | 6083637510 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8224947858 |
| Number of Group Practice Members | 120 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520100 | BELOIT MEMORIAL HOSPITAL |
| 521357 | MERCY WALWORTH HOSPITAL & MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1735 Madison Rd, Beloit, WI 53511-3216 | 6083637510 | BELOIT HEALTH SYSTEM INC |
| Organization Legal Name | BELOIT HEALTH SYSTEM INC |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara A Jackson | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Jackky Wang | Family Medicine | Beloit Health System Inc | 5605 E Rockton Rd, Roscoe, IL 61073-7601 |
| Stephen R Rudisill | Family Medicine | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Madelene G Hamann | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Vijaya Somaraju | Infectious Disease | Beloit Health System Inc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
| Steven S Yang | Gastroenterology | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Cynthia L Philpott | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Yehia K Khoga | Psychiatry | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Joseph K Kittah | Pulmonary Disease | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Maria M Poplawska Goetzen | Family Medicine | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Street Address |
1735 MADISON RD |
| City | BELOIT |
| State | WI |
| Zip | 53511-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R Rudisill | Family Medicine | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Heather L Kluck | Physician Assistant | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Kayla M Mccawley | Physician Assistant | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Eugene A Gonzales | Family Practice | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Judith M Warnke | Occupational Therapy | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| William M Fitzgerald | Internal Medicine | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Roy S Adaniya | Pulmonary Disease | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Kerilynn Loftus | Obstetrics/gynecology | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Monica M Freeman | Audiologist | Beloit Health System Inc | 1735 Madison Rd, Beloit, WI 53511-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey T Bouc | Family Medicine | 3005 S Riverside Dr, Suite 101, Beloit, WI 53511-1500 | |
| Ann L Pruyne | Occupational Therapy | 828 E Azalea Ter, Beloit, WI 53511-1606 | |
| Frank C Kollins | Chiropractic | 1517 E Huebbe Pkwy, Beloit, WI 53511-1795 | |
| Sara A Jackson | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Madelene G Hamann | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Steven S Yang | Gastroenterology | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Cynthia L Philpott | Nurse Practitioner | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Yehia K Khoga | Psychiatry | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Joseph K Kittah | Pulmonary Disease | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Maria M Poplawska Goetzen | Family Medicine | Beloit Health System Inc | 1905 E Huebbe Pkwy, Beloit, WI 53511-1842 |
| Find all physicians in zip 53511 | |||
| City | BELOIT |
| Zip Code | 53511 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BELOIT + PHYSICIAN ASSISTANT |
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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.