Stephen R Rudisill (NPI# 1013925775, PAC ID# 8123017746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1013925775 |
PAC ID by PECOS | 8123017746 |
Professional Enrollment ID | I20040510000478 |
Full Name | Stephen R Rudisill |
Organization Legal Name | BELOIT HEALTH SYSTEM INC |
Address |
1735 Madison Rd Beloit WI 53511-3216 |
Phone Number | 6083637510 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8224947858 |
Number of Group Practice Members | 110 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
520100 | BELOIT HEALTH SYSTEM |
520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
Address | Phone | Organization |
---|---|---|
1650 Lee Ln, Beloit, WI 53511-3935 | 6083644666 | BELOIT HEALTH SYSTEM INC |
1670 Lee Ln, Beloit, WI 53511-3935 | 6083645253 | BELOIT HEALTH SYSTEM INC |
1735 Madison Rd, Beloit, WI 53511-3216 | 6083637510 | BELOIT HEALTH SYSTEM INC |
5605 E Rockton Rd, Roscoe, IL 61073-7601 | 8155454500 | 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 |
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 |
Nicole A Bindl | Nurse Practitioner | Beloit Health System Inc | 1969 W Hart Rd, Beloit, WI 53511-2230 |
Street Address |
1735 MADISON RD |
City | BELOIT |
State | WI |
Zip | 53511-3216 |
Name | Specialty | Organization | Address |
---|---|---|---|
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 |
Susan K Boland | Physician Assistant | 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 | FAMILY MEDICINE |
City + Specialty | BELOIT + FAMILY MEDICINE |
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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.