Derrick Lamar Reedus Sr. (NPI# 1194929463, PAC ID# 8022197482) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1194929463 |
| PAC ID by PECOS | 8022197482 |
| Professional Enrollment ID | I20080509000422 |
| Full Name | Derrick Lamar Reedus Sr. |
| Organization Legal Name | FAIRFIELD HEALTHCARE PROFESSIONALS INC |
| Address |
135 N Ewing St Suite 201 Lancaster OH 43130-3378 |
| Phone Number | 7406878541 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4789596362 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360072 | FAIRFIELD MEDICAL CENTER |
| 361330 | HOCKING VALLEY COMMUNITY HOSPITAL |
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 135 N Ewing St, Suite 201, Lancaster, OH 43130-3378 | 7406878541 | FAIRFIELD HEALTHCARE PROFESSIONALS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 88% | |
| MIPS_EC_050_overall | Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older | 70% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 30% |
| Organization Legal Name | FAIRFIELD HEALTHCARE PROFESSIONALS INC |
| Physicians | 118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Thomas Wiseman | General Surgery | Fairfield Healthcare Professionals Inc | 131 N Ewing St, Unit C, Lancaster, OH 43130-3383 |
| Theresa E Omalia | Nurse Practitioner | Fairfield Healthcare Professionals Inc | 80 Logan Thornville Nerd, Bremen, OH 43107-9763 |
| Jennifer A Heck | Nurse Practitioner | Fairfield Healthcare Professionals Inc | 1500 E Main St, Suite 2d, Lancaster, OH 43130-3497 |
| Emily E Burnette | Obstetrics/gynecology | Fairfield Healthcare Professionals Inc | 112 N Ewing St, Lancaster, OH 43130-3307 |
| Anokh V Kondru | Internal Medicine | Fairfield Healthcare Professionals Inc | 401 N Ewing St, Lancaster, OH 43130-3371 |
| James Pan | Vascular Surgery | Fairfield Healthcare Professionals Inc | 618 Pleasantville Rd, Suite 302, Lancaster, OH 43130-3312 |
| Ashley E Wilkett | Nurse Practitioner | Fairfield Healthcare Professionals Inc | 5115 Amanda Northern Rd, Amanda, OH 43102-9332 |
| Scott R Baker | Family Medicine | Fairfield Healthcare Professionals Inc | 1955 Lancaster Newark Rd, Lancaster, OH 43130-1052 |
| Safdar N Khan | Orthopedic Surgery | Fairfield Healthcare Professionals Inc | 2384 N Memorial Dr, Lancaster, OH 43130-1637 |
| Andrew R Dagg-murry | Infectious Disease | Fairfield Healthcare Professionals Inc | 1253 E Main St, Lancaster, OH 43130-0000 |
| Street Address |
135 N EWING ST SUITE 201 |
| City | LANCASTER |
| State | OH |
| Zip | 43130-3378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Murray | Internal Medicine | Central Ohio Primary Care Physicians, Inc. | 135 N Ewing St, Suite 305, Lancaster, OH 43130-3379 |
| Richard A Roy | Urology | Fairfield Healthcare Professionals Inc | 135 N Ewing St, Suite 201, Lancaster, OH 43130-3378 |
| Roopa S Srikantiah-saha | Hematology/oncology | Fairfield Healthcare Professionals Inc | 135 N Ewing St, Suite 301, Lancaster, OH 43130-3379 |
| Lacie A Emerine | Nurse Practitioner | Fairfield Healthcare Professionals Inc | 135 N Ewing St, Suite 201, Lancaster, OH 43130-3378 |
| Laurianne F Scott | Obstetrics/gynecology | 135 N Ewing St, Suite 205, Lancaster, OH 43130-3378 | |
| Jason Brett Lichten | Plastic and Reconstructive Surgery | 135 N Ewing St, Suite 202, Lancaster, OH 43130-3378 | |
| Jeffrey L Moore | Podiatry | 135 N Ewing St, Suite 301, Lancaster, OH 44130-3379 | |
| Maureen A Delphia | Neurology | 135 N Ewing St, Suite 301, Lancaster, OH 43130-3379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew R Dagg-murry | Infectious Disease | Fairfield Healthcare Professionals Inc | 1253 E Main St, Lancaster, OH 43130-0000 |
| Cynthia M Mcgowan | Family Medicine | Fairfield Healthcare Professionals Inc | 1253 E Main St, Lancaster, OH 43130-0000 |
| Scott Burdine Hahn | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 1800 Granville Pike, Lancaster, OH 43130-1043 |
| Anupreet Kaur | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 1800 Granville Pike, Lancaster, OH 43130-1043 |
| Mark E Aebi | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 1800 Granville Pike, Lancaster, OH 43130-1043 |
| Wesley Hard | Family Medicine | Meritra Clinics LLC | 1981 Granville Pike, Lancaster, OH 43130-1046 |
| Scott R Baker | Family Medicine | Fairfield Healthcare Professionals Inc | 1955 Lancaster Newark Rd, Lancaster, OH 43130-1052 |
| Sara A Busch | Nurse Practitioner | Fairfield Healthcare Professionals Inc | 1955 Lancaster Newark Rd, Lancaster, OH 43130-1052 |
| Shannon Elaine Dagrava | Clinical Social Worker | New Horizons Mental Health Services Inc | 1592 Granville Pike, Lancaster, OH 43130-1076 |
| Mary Jane Frank | Clinical Social Worker | New Horizons Mental Health Services Inc | 1592 Granville Pike, Lancaster, OH 43130-1076 |
| Find all physicians in zip 43130 | |||
| City | LANCASTER |
| Zip Code | 43130 |
| Specialty | UROLOGY |
| City + Specialty | LANCASTER + UROLOGY |
Please comment or provide details below to improve the information on Derrick Lamar Reedus Sr..
| 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.