Ronald W Fuller (NPI# 1932169893, PAC ID# 7810077393) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1932169893 |
| PAC ID by PECOS | 7810077393 |
| Professional Enrollment ID | I20080703000322 |
| Full Name | Ronald W Fuller |
| Organization Legal Name | RADIOLOGY GROUP, P.C., S.C. |
| Address |
409 Nw 9th Ave Aledo IL 61231-1258 |
| Phone Number | 3095682530 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9032008537 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160033 | GENESIS MEDICAL CENTER-DAVENPORT |
| 140275 | GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI |
| 161313 | GENESIS MEDICAL CENTER-DEWITT |
| 141304 | GENESIS MEDICAL CENTER, ALEDO |
| 160080 | MERCY MEDICAL CENTER-CLINTON |
| Address | Phone | Organization |
|---|---|---|
| 409 Nw 9th Ave, Aledo, IL 61231-1258 | 3095682530 | RADIOLOGY GROUP, P.C., S.C. |
| 1227 E Rushholme St, Davenport, IA 52803-2459 | 5634219729 | RADIOLOGY GROUP, P.C., S.C. |
| 1970 E 53rd St, Davenport, IA 52807-2710 | 5634219729 | RADIOLOGY GROUP, P.C., S.C. |
| 801 Illini Dr, Silvis, IL 61282-1804 | 3092814000 | RADIOLOGY GROUP, P.C., S.C. |
| Organization Legal Name | RADIOLOGY GROUP, P.C., S.C. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shihong Li | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Andrew Bryce Crush | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| John W Rogers | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Jason B Mueller | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Christine M Walsh | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Joseph M Phelan | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Matthew A Ketelaar | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Dietrich A Gerhardt | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Jeffrey C Goree | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Roopa M Goswami | Diagnostic Radiology | Radiology Group, P.C., S.c. | 1227 E Rushholme St, Davenport, IA 52803-2459 |
| Street Address |
409 NW 9TH AVE |
| City | ALEDO |
| State | IL |
| Zip | 61231-1258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Bryce Crush | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Jeffrey C Goree | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Robert C Danielson | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Patrick P Rheingans | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Marcus E Cabay | Diagnostic Radiology | Radiology Group, P.C., S.c. | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Martha F Thornton | Podiatry | Genesis Medical Center, Aledo | 409 Nw 9th Ave, Aledo, IL 61231-1258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse G Korns | Nurse Practitioner | Genesis Medical Center, Aledo | 1007 Nw 3rd St, Aledo, IL 61231-1317 |
| Kurt P Doyle | Clinical Social Worker | Genesis Medical Center, Aledo | 1007 Nw 3rd St, Aledo, IL 61231-1317 |
| Ryane M Passno | Nurse Practitioner | Genesis Medical Center, Aledo | 1007 Nw 3rd St, Aledo, IL 61231-1317 |
| Dennis D Palmer | Family Medicine | Genesis Medical Center, Aledo | 1007 Nw 3rd St, Aledo, IL 61231-1317 |
| Amy L Feist | Nurse Practitioner | Genesis Medical Center, Aledo | 1007 Nw 3rd St, Aledo, IL 61231-1317 |
| Kristin A Wurzburger | Internal Medicine | Genesis Medical Center, Aledo | 1007 Nw 3rd St, Aledo, IL 61231-1317 |
| Mohamed I Rajput | General Practice | 309 Nw 2nd St, Aledo, IL 61231-1404 | |
| Dean L Herrin | Chiropractic | 606 Sw 3rd St, Aledo, IL 61231-1808 | |
| Allison J Linder | Chiropractic | 802 Sw 3rd St, Aledo, IL 61231-1861 | |
| Glenda E Foy | Chiropractic | 301 Se 3rd St, Aledo, IL 61231-1909 | |
| Find all physicians in zip 61231 | |||
| City | ALEDO |
| Zip Code | 61231 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ALEDO + 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.