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Physician Compare National (NPI:1255449393)

HEALTHCARE PROVIDER: JOHN RINKER DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1255449393
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0749193555
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20031107000498
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RINKER
Individual professional last name
Provider First Name JOHN
Individual professional first name
Provider Middle Name W
Individual professional middle name
Provider Name Suffix Text SR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text DO
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Individual professional's medical school
Graduation Year 1985
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 OSTEOPATHIC MANIPULATIVE MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1515 W REYNOLDS ST
Group Practice or individual's line 1 address
City PONTIAC
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 617649673
Group Practice or individual's zip code (9 digits when available)
Phone Number 8158423381
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 140161
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SAINT JAMES HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 140110
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 140143
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 ST MARGARETS HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 140162
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ST JOSEPH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 140067
Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5 OSF SAINT FRANCIS MEDICAL CENTER
Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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