J Douglas Anderson (NPI# 1750387767, PAC ID# 9537064050) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1750387767 |
| PAC ID by PECOS | 9537064050 |
| Professional Enrollment ID | I20040730001065 |
| Full Name | J Douglas Anderson |
| Organization Legal Name | ILLINOIS CENTERS FOR PAIN AND REHAB, SC |
| Address |
3400 Griffin Ave Pekin IL 61554-6246 |
| Phone Number | 3093474277 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7618949207 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3400 Griffin Ave, Pekin, IL 61554-6246 | 3093474277 | ILLINOIS CENTERS FOR PAIN AND REHAB, SC |
| Organization Legal Name | ILLINOIS CENTERS FOR PAIN AND REHAB, SC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shauna L Bivens | Nurse Practitioner | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Kristin Ross | Physical Therapy | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Michael R Salaway | Physical Therapy | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Tonya L Dennison | Nurse Practitioner | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Volkan Sumer | Family Medicine | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Catherine D Rollyson | Nurse Practitioner | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Victoria Diane Styninger | Physician Assistant | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Street Address |
3400 GRIFFIN AVE |
| City | PEKIN |
| State | IL |
| Zip | 61554-6246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shauna L Bivens | Nurse Practitioner | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Kristin Ross | Physical Therapy | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Michael R Salaway | Physical Therapy | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Tonya L Dennison | Nurse Practitioner | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Volkan Sumer | Family Medicine | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Catherine D Rollyson | Nurse Practitioner | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Victoria Diane Styninger | Physician Assistant | Illinois Centers for Pain and Rehab, Sc | 3400 Griffin Ave, Pekin, IL 61554-6246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brendon J Johnson | Optometry | 2611 Broadway St, Pekin, IL 61554-2501 | |
| Douglas C Harrington | Obstetrics/gynecology | 2709 Broadway St, Pekin, IL 61554-2676 | |
| Raymond Rs Heyde | Ophthalmology | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| William E Fish | Optometry | Heyde Eye Center S.c | 111 N 4th St, Pekin, IL 61554-3248 |
| Jerry B Witt | Chiropractic | 611 Margaret St, Pekin, IL 61554-3355 | |
| Jijun Liu | Medical Oncology | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Lindsey Lorraine Grys | Nurse Practitioner | Oncology Hematology Associates of Central Illinois PC | 1641 Broadway St, Pekin, IL 61554-3805 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Pawan Sarda | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Tahir Ilahi | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Find all physicians in zip 61554 | |||
| City | PEKIN |
| Zip Code | 61554 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PEKIN + PHYSICAL THERAPY |
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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.