Gustav A Blomquist (NPI# 1710104484, PAC ID# 8820140973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1710104484 |
| PAC ID by PECOS | 8820140973 |
| Professional Enrollment ID | I20100915001091 |
| Full Name | Gustav A Blomquist |
| Organization Legal Name | SUMNER RADIOLOGY PC |
| Address |
1625 Nashville St Russellville KY 42276-8853 |
| Phone Number | 2707264011 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2567448400 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440003 | SUMNER REGIONAL MEDICAL CENTER |
| 180067 | UNIVERSITY OF KENTUCKY HOSPITAL |
| 180066 | LOGAN MEMORIAL HOSPITAL |
| 441307 | RIVERVIEW REGIONAL MEDICAL CENTER |
| 441301 | TROUSDALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 620 Hartsville Pike, Gallatin, TN 37066-2523 | 6154529470 | SUMNER RADIOLOGY PC |
| 59 Cowtown Rd, Hindman, KY 41822-9120 | 6067853175 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 100 Greatstone Pt, Lexington, KY 40504-3274 | 8592579800 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 2195 Harrodsburg Rd, Lexington, KY 40504-3504 | 8592571000 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 2195 Harrodsburg Rd, Suite 125, Lexington, KY 40504-3504 | 8592579255 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 2400 Greatstone Pt, Lexington, KY 40504-3274 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC | |
| 310 S Limestone, Lexington, KY 40508-3008 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC | |
| 310 S Limestone St, Lexington, KY 40508-3008 | 8592267750 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 800 Rose St, Lexington, KY 40536-0001 | 8593235000 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 830 S Limestone, Lexington, KY 40536-0001 | 8593230303 | KENTUCKY MEDICAL SERVICES FOUNDATION, INC |
| 1625 Nashville St, Russellville, KY 42276-8853 | 2707264011 | SUMNER RADIOLOGY PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% |
| Organization Legal Name | SUMNER RADIOLOGY PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Bazzani | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Glenn F Nabors Jr. | General Practice | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Brent K Frisbie | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Jason Kyle Roth | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Matthew Keith Jones | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Loy Allen Forsythe | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Michael A Hencey | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Elton Benjamin Greene | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| William J Reed | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Jennifer Y Hencey | Diagnostic Radiology | Sumner Radiology PC | 620 Hartsville Pike, Gallatin, TN 37066-2523 |
| Street Address |
1625 NASHVILLE ST |
| City | RUSSELLVILLE |
| State | KY |
| Zip | 42276-8853 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Jeffery Jones | Certified Registered Nurse Anesthetist (crna) | Plj Anesthesia Associates LLC | 1625 Nashville St, Anesthesia Department, Russellville, KY 42276-8850 |
| Patrick D Owsiak | Emergency Medicine | Southeastern Emergency Physicians LLC | 1625 Nashville St, Russellville, KY 42276-8853 |
| William M Johnson | Emergency Medicine | Southeastern Emergency Physicians LLC | 1625 Nashville St, Russellville, KY 42276-8853 |
| Kay Chamberlain | Certified Registered Nurse Anesthetist (crna) | Plj Anesthesia Associates LLC | 1625 Nashville St, Anesthesia Department, Russellville, KY 42276-8850 |
| Donald E Chamberlain | Certified Registered Nurse Anesthetist (crna) | Plj Anesthesia Associates LLC | 1625 Nashville St, Anesthesia Department, Russellville, KY 42276-8850 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thad Dustin Wells | Optometry | 105 Robins Way, Suite 206, Russellville, KY 42276-1129 | |
| Darla S Barrow | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Amanda S Higdon | Optometry | 102 Armory Dr, Russellville, KY 42276-1602 | |
| Keith A Jones | Chiropractic | 178 E 4th St, Russellville, KY 42276-1820 | |
| Bill D Webb | Optometry | 603 E 4th St, Russellville, KY 42276-1857 | |
| James C Dodson | Internal Medicine | Logan Physician Practice LLC | 147 E 5th St, Russellville, KY 42276-1903 |
| Stuart W Larson | Psychiatry | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Tonya Norris Ballard | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Lorri L Houck | Nurse Practitioner | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Laura A Gaines | Clinical Social Worker | Lifeskills, Inc | 237 E 6th St, Russellville, KY 42276-1917 |
| Find all physicians in zip 42276 | |||
| City | RUSSELLVILLE |
| Zip Code | 42276 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | RUSSELLVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gustav A Blomquist.
| 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.