Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295713881 Individual Practitioner Female Practitioner

Mary Jo Poremba , PA-C

Physician Assistant • Moline, IL

Professional Overview & Biography Verified Profile Summary

Mary Poremba, PA-C is a registered healthcare professional specializing in Physician Assistant in Moline, IL. Practice services are available at 520 VALLEY VIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 Valley View Dr

Moline, IL 612656152

Telephone 3097623621
Fax 3097623690
Associated Practice Facility / Clinic
🏢 Ora Orthopedics Pc Facility NPI 1962481861

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Moline, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001152

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IA 001636

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wellmark
97854
Commercial Insurance / Payer ID Midlands Choice
234526
Commercial Insurance / Payer ID Ia Health Solutions
193318
Commercial Insurance / Payer ID Rr Medicare
970021096
Commercial Insurance / Payer ID John Deere Family
IL0168
Commercial Insurance / Payer ID Bcbs
8121085 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Dr. Russell Carlson , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023271137

Doctor of Podiatric Medicine

Dr. John Baker , MD

Orthopaedic Surgery

NPI 1063490704

Doctor of Medicine (M.D.)

Dr. Michael Berry , MD

Orthopaedic Surgery

NPI 1114121969

Doctor of Medicine (M.D.)

Jennifer Miller

Physician Assistant

NPI 1134437304
John Van Straten

Anesthesiology - Pain Medicine

NPI 1164712873
Dr. Steven Boardman , MD

Orthopaedic Surgery

NPI 1174501829

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2011

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656152 (Tel: 3097623621)

📍
Updated Business Mailing Address January 06, 2011

Registered at 520 VALLEY VIEW DR, MOLINE, IL 612656194 (Tel: 3097623621)

👤
Provider Name / Credentials Updated January 06, 2011

Recorded as MARY POREMBA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2011

Physician Assistant (License #085001152 in IL)

🟢
Initial NPI Registration & Enumeration January 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295713881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2006
Last Update: January 06, 2011
Sole Proprietor: No

Mailing Address

520 Valley View Dr

Moline, IL 612656194

Phone: 3097623621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.