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Tetsuya Takeuchi

  • Male

Medical Specialty

Professional ID

  • NPI: 1447550884
  • PECOS ID: 7810113578
  • Enrollment ID: I20170303001177
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2001

Hospital Service

  • Hospital CCN1: 050567
  • Business Name (LBN)1: Mission Hospital Regional Med Center
  • Hospital CCN2: 140233
  • Business Name (LBN)2: Saint Anthony Medical Center

Medical Practices

  • Organization Name: Osf Multi-specialty Group
  • Group Practice ID assigned by PECOS: 3678889789
  • Number of Group Practice member: 1038

Location

  • Address1: 5668 E State St
  • Address2: Suite 2000
  • City: Rockford
  • State: Illinois
  • Zip Code: 61108
  • Phone Number: (815)381-7790

Medical Practices

  • Organization Name: Acute Care Surgery Medical Group Inc
  • Group Practice ID assigned by PECOS: 7214006816
  • Number of Group Practice member: 97

Location

  • Address1: 1000 Nut Tree Rd
  • Address2:
  • City: Vacaville
  • State: California
  • Zip Code: 95687
  • Phone Number: (707)624-7000

Location

  • Address1: 27700 Medical Ctr Rd
  • Address2:
  • City: Mission Viejo
  • State: California
  • Zip Code: 92691
  • Phone Number: (949)364-1400

Medical Practices

  • Organization Name: Oc Trauma Inc
  • Group Practice ID assigned by PECOS: 7214205152
  • Number of Group Practice member: 6

Location

  • Address1: 26372 Crown Valley Pkwy
  • Address2: Suite 351
  • City: Mission Viejo
  • State: California
  • Zip Code: 92691
  • Phone Number: (949)364-1007

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes