Eric Alfred Kivisto (NPI# 1447257316, PAC ID# 8820155963) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1447257316 |
| PAC ID by PECOS | 8820155963 |
| Professional Enrollment ID | I20090917000544 |
| Full Name | Eric Alfred Kivisto |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Address |
1405 E 12th St Mendota IL 61342-9010 |
| Phone Number | 8155387200 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3678889789 |
| Number of Group Practice Members | 1214 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141310 | OSF SAINT PAUL MEDICAL CENTER |
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| Address | Phone | Organization |
|---|---|---|
| 1405 E 12th St, Mendota, IL 61342-9010 | 8155387200 | OSF MULTI-SPECIALTY GROUP |
| Organization Legal Name | OSF MULTI-SPECIALTY GROUP |
| Physicians | 1301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin R Moody | Physician Assistant | Osf Multi-specialty Group | 9951 Rock Cut Xing, Loves Park, IL 61111-1999 |
| Christina S Chen Milhone | Pediatric Medicine | Osf Multi-specialty Group | 2806 N Knoxville Ave, Peoria, IL 61604-2870 |
| Katelyn J Stites | Nurse Practitioner | Osf Multi-specialty Group | 106 S 1st St, Fairbury, IL 61739-1509 |
| Andrea M Shewalter | Nurse Practitioner | Osf Multi-specialty Group | 535 Roxbury Rd, Rockford, IL 61107-5076 |
| Kathleen M Hendricks | Nurse Practitioner | Osf Multi-specialty Group | 2809 W Willow Knolls Dr, Peoria, IL 61614-8517 |
| Carrie B Finley | Nurse Practitioner | Osf Multi-specialty Group | 1209 Starfire Dr, Suite 2, Ottawa, IL 61350-1688 |
| Laine E Burek | Nurse Practitioner | Osf Multi-specialty Group | 1765 Bradford Ln, Normal, IL 61761-1296 |
| James C Plasky | Nurse Practitioner | Osf Multi-specialty Group | 6830 Villagreen Vw, Rockford, IL 61107-5639 |
| Jubilee C Phan | Urology | Osf Multi-specialty Group | 1001 Main St, Suite 400, Peoria, IL 61606-2036 |
| Sara K Rosenbery | Nurse Practitioner | Osf Multi-specialty Group | 515 Neglen Oak Ave, Suite 202, Peoria, IL 61603 |
| Street Address |
1405 E 12TH ST |
| City | MENDOTA |
| State | IL |
| Zip | 61342-9010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy A Piller | Nurse Practitioner | Mendota Community Hospital | 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012 |
| David A Scholl | Family Medicine | Mendota Community Hospital | 1405 E 12th St, 600 Physician Services of Mch, Mendota, IL 61342-9012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linnea L Person | Chiropractic | 1301 14th Ave, Mendota, IL 61342-1001 | |
| Cynthia A Becker | Chiropractic | 1403 E Main St, Mendota, IL 61342-1077 | |
| Donald W Piller | Chiropractic | 1312 Lakewood Dr, Mendota, IL 61342-1096 | |
| Tara N Vandewyngaerde | Optometry | 700 14th Ave, Mendota, IL 61342-1412 | |
| Mary M Chinn | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Zachary J Fulton | Family Medicine | Mendota Community Hospital | 1404 Washington St, Mendota, IL 61342-1471 |
| Joy R Preciado | Nurse Practitioner | Community Health Partnership of Illinois | 1009 Main St, Mendota, IL 61342-1604 |
| Rebecca J Amble | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Dawn H Mccollom | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Suite A, Mendota, IL 61342-1682 |
| Mary A Liddle | Clinical Social Worker | Illinois Valley Counseling Services | 901 Main St, Mendota, IL 61342-1682 |
| Find all physicians in zip 61342 | |||
| City | MENDOTA |
| Zip Code | 61342 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MENDOTA + GENERAL SURGERY |
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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.