Donald Gene Nordstrom (NPI# 1225039365, PAC ID# 7719979715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1225039365 |
| PAC ID by PECOS | 7719979715 |
| Professional Enrollment ID | I20190515000270 |
| Full Name | Donald Gene Nordstrom |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Address |
480 E Division St Fond Du Lac WI 54935-3734 |
| Phone Number | 9209264100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1973 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1658289624 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520057 | SSM HEALTH ST CLARE HOSPITAL - BARABOO |
| 420068 | TRMC OF ORANGEBURG & CALHOUN |
| 520088 | ST AGNES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 14th St, Baraboo, WI 53913-1539 | 6083561400 | SHARED MAGNETIC RESONANCE IMAGING FACILITY INC |
| 480 E Division St, Fond Du Lac, WI 54935-3734 | 9209264100 | AGNESIAN HEALTHCARE INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 74% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 92% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | AGNESIAN HEALTHCARE INC |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Covach | Family Medicine | Agnesian Healthcare Inc | 835 Parkside St, Ripon, WI 54971-8505 |
| Kandipati Sreenivasarao | Family Medicine | Agnesian Healthcare Inc | 723 Parkridge Lane, North Fond Du Lac, WI 54937 |
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Suzanne T Mcgoey | Dermatology | Agnesian Healthcare Inc | 912 S Hickory St, Fond Du Lac, WI 54935-5530 |
| Robert M Bertram | Podiatry | Agnesian Healthcare Inc | 790 Eastgate Dr, Ripon, WI 54971-9614 |
| Shahriar Alizadegan | Vascular Surgery | Agnesian Healthcare Inc | 430 E Division St, Fond Du Lac, WI 54935-4560 |
| Bret N Pasiuk | Nephrology | Agnesian Healthcare Inc | 110 Monroe St, Beaver Dam, WI 53916-2437 |
| Jodi R Budwit | Nurse Practitioner | Agnesian Healthcare Inc | 10 Pluim Dr, Waupun, WI 53963-1564 |
| Bryan J Henslin | Chiropractic | Agnesian Healthcare Inc | 305 Camelot Dr, Fond Du Lac, WI 54935-8014 |
| Jeffrey A Strong | Family Medicine | Agnesian Healthcare Inc | 100 Evergreen Rd, Mt Calvary, WI 53057-9726 |
| Street Address |
480 E DIVISION ST |
| City | FOND DU LAC |
| State | WI |
| Zip | 54935-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Jones | Medical Oncology | Agnesian Healthcare Inc | 480 E Division St, Fond Du Lac, WI 54935-3734 |
| Filip T Troicki | Radiation Oncology | Agnesian Healthcare Inc | 480 E Division St, Fond Du Lac, WI 54935-3734 |
| Sameer Tolay | Hematology/oncology | Agnesian Healthcare Inc | 480 E Division St, Fond Du Lac, WI 54935-3734 |
| Michael J Vanderkooy | Radiation Oncology | Agnesian Healthcare Inc | 480 E Division St, Fond Du Lac, WI 54935-3734 |
| Ronald Eric Lilly | Cardiac Surgery | Agnesian Healthcare Inc | 480 E Division St, Fond Du Lac, WI 54935-3734 |
| Rebecca L Lentscher | Nurse Practitioner | Agnesian Healthcare Inc | 480 E Division St, Fond Du Lac, WI 54935-3734 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Ruth A Adene- Peter | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nicole A Hostetler | Nurse Practitioner | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nydia C Ros | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Cynthia M Griffin | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kelly M Olsen | Certified Registered Nurse Anesthetist (crna) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Jennifer I Giesige | Psychiatry | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Abigail I Ruh | Psychologist, Clinical | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Michelle C Pesek Mccoy | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kristof T Gehrke | Critical Care (intensivists) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Find all physicians in zip 54935 | |||
| City | FOND DU LAC |
| Zip Code | 54935 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | FOND DU LAC + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Donald Gene Nordstrom.
| 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.