Linda Louise Dew

Diagnostic Radiology Community Regional Medical Center NPI1093799884

Summary

About

Linda Louise Dew specialises in Diagnostic Radiology. She currently works at Community Regional Medical Center in Illinois and has affiliate with 4 other institutions.

Provider Details

NPI Number 1093799884
Provider Name Linda Louise Dew
Credential MD
Specialization Diagnostic Radiology
Medical School Name Other
Graduation Year 1981
Gender F
Entity Type Individual
PAC ID by PECOS 7810882313
Professional Enrollment ID I20040216000181
Enumeration Date 12/05/2005
Last Update Date 07/09/2007

Contact Details

Business Practice address 1035 CAMPUS DR, Mundelein,
60060-3834 Illinois View on Google Map
Business Practice phone 847-816-3007
Business Practice fax 847-680-9391
Mailing address 1035 CAMPUS DR, Mundelein,
60060-3834 Illinois View on Google Map
Other phone 847-816-3007
Other fax 847-680-9391
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Linda Louise Dew MD Update NPI

Payments

Total Payment Worth

$677.08
from 7 payments in the last 6 years

Total Cash or Cash Equivalent

$0.00
from 0 payments in the last 6 years

Total In-kind Items & Services

$677.08
from 7 payments in the last 6 years

Hospital Affilitation

Community Regional Medical Center in Mundelein

Mundelein, Illinois

Brookdale Hospital Medical Center

Clovis Community Medical Center

Lewis County General Hospital

Rehoboth Mckinley Christian Health Care Services

Education & Training

Other

Diagnostic Radiology, 1981

Group Affiliation

Organization Name PECOS PAC ID Members
On-Line Radiology Medical Group Inc 0648311548 49
Dhhs Phs Naihs Chinle Comprehensive Health Care Facility 9436062585 164
Central Valley Community Medical Imaging 5799679874 71
Bloomington Radiology S C 5092797621 53
Dhhs Phs Naihs Shiprock Hospital 0749193837 158
Healthcare Radiology And Diagnostic Systems Pllc 3870484678 37
East Central Illinois Radiology Associates Llc 3870750482 28
Pco Pc 5395179329 54
Dhhs Phs Naihs Gallup Indian Medical Center 3173436409 134
Brookdale Hospital Medical Center 4284545799 271

Public Reporting for Performance Scores

More Details

Final MIPS Score

85.10 out of 100

Score Breakdown

Quality Category Score 75.29
PI Category Score 100

 

IA Category Score 40
Cost Category Score 0
Total Patients: 67
Source of Scores: group, apm
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Provider Taxonomy 1
Taxonomy
License No.
35-087115 (Ohio)
Provider Taxonomy 2
Taxonomy
License No.
01060862A (Indiana)
Provider Taxonomy 3
Taxonomy

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1093799884
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Dew
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Linda
The first name of the provider, if the provider is an individual.
Provider Credential Text M.D.
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.
Provider First Line Business Mailing Address 1035 CAMPUS DR
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Mundelein
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Illinois
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 60060-3834
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 847-816-3007
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 847-680-9391
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 1035 CAMPUS DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Mundelein
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name Illinois
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 60060-3834
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 847-816-3007
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 847-680-9391
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 12/05/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 07/09/2007
The date that a record was last updated or changed.
Provider Gender Code F
The code designating the provider's gender if the provider is a person.
Provider Gender Female
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #1
Provider License Number 1 35-087115
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1 OH
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 X
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #2 2085U0001X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 2 A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Healthcare Provider Taxonomy #2
Provider License Number 2 01060862A
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 2 IN
Provider License Number State Code #2
Healthcare Provider Primary Taxonomy Switch 2 X
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Healthcare Provider Taxonomy Code #3 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 3 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #3
Provider License Number State Code 3 IL
Provider License Number State Code #3
Healthcare Provider Primary Taxonomy Switch 3 X
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.