SIU PHYSICIANS & SURGEONS, INC


Address: 610 N Westgate Ave, Jacksonville, IL 62650-1152
Phone: 2172438455

SIU PHYSICIANS & SURGEONS, INC (NPI# 1053804443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053804443
Entity Type Organization
Organization Name SIU PHYSICIANS & SURGEONS, INC
Other Organization Name SIU HEALTHCARE
Practice Address 610 N Westgate Ave
Jacksonville
IL 62650-1152
Mailing Address Po Box 19639
Springfield
IL 62794-9639
Practice Telephone 2172438455
Mailing Telephone 2175457876
Enumeration Date 2018-06-11
Last Update Date 2018-09-25
Authorized Official Name JO TURLEY (MEDICAL STAFF COORDINATOR)
Authorized Official Telephone 2175457876
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
SIU HealthCare Other Name - Individual/Organization
SIU Womens Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1558385989 Siu Physicians & Surgeons, Inc Dermatology 201 E Madison St Ste 300, Springfield, IL 62702-5131 2006-07-27
1790705507 Siu Physicians & Surgeons, Inc Orthopaedic Surgery 720 N Bond St, Springfield, IL 62702-4952 2006-07-21
1164055976 Siu Physicians & Surgeons, Inc Durable Medical Equipment & Medical Supplies 747 N Rutledge St Fl 5, Springfield, IL 62702-6700 2020-02-20
1942849096 Siu Physicians & Surgeons, Inc Durable Medical Equipment & Medical Supplies 720 N Bond St, Springfield, IL 62702-4952 2020-01-06
1396211975 Siu Physicians & Surgeons, Inc Case Management 201 E Madison St Ste 300, Springfield, IL 62702-5131 2018-10-22
1457807869 Siu Physicians & Surgeons, Inc Clinic/Center 608 S Main St, Anna, IL 62906-1247 2016-08-27
1871882787 Siu Physicians & Surgeons, Inc Internal Medicine 315 W Carpenter St, Springfield, IL 62702-4901 2011-03-31
1821290057 Siu Physicians & Surgeons, Inc Durable Medical Equipment & Medical Supplies 747 N Rutledge St, 3rd Floor, Springfield, IL 62702-6700 2007-06-01
1093739435 Siu Physicians & Surgeons, Inc Family Medicine 701 N 1st St, D235, Springfield, IL 62781-0001 2006-07-27
1467476895 Siu Physicians & Surgeons, Inc Counselor 701 N 1st St, D235, Springfield, IL 62781-0001 2006-07-27

Office Location

Street Address 610 N WESTGATE AVE
City JACKSONVILLE
State IL
Zip Code 62650-1152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598727620 Jeffrey L Olejnik Obstetrics & Gynecology 610 N Westgate Ave, Jacksonville, IL 62650 2006-04-04
1588186084 Caitlen Elizabeth Despain Nurse Practitioner 610 N Westgate Ave, Jacksonville, IL 62650-1152 2017-07-17
1780726430 Alexander M Hrynewych Obstetrics & Gynecology 610 N Westgate Ave, Jacksonville, IL 62650 2007-02-12
1619993565 Tracy Hendricks Family Medicine 610 N Westgate Ave, Jacksonville, IL 62650-1152 2006-07-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
Find all providers in zip 62650

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861991226 Jacksonville Hospital LLC Clinic/Center 203 Nacogdoches St Ste 280, Jacksonville, TX 75766-2444 2018-02-12
1922410836 Passavant Physician Association Clinic/Center 557 N Westgate Ave, Jacksonville, IL 62650-1156 2014-05-27
1205180056 Memorial Physician Services Clinic/Center 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650-1136 2012-11-01
1104179415 Memorial Physician Services Clinic/Center 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 2012-10-24
1558614867 Memorial Physician Services Clinic/Center 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 2012-10-24
1881947174 Memorial Physician Services Clinic/Center 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 2012-10-24
1821366170 East Texas Medical Center Jacksonville Clinic/Center 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2444 2011-12-01
1598068793 Springfield Clinic LLP Clinic/Center 15 Founders Ln, Jacksonville, IL 62650-3919 2010-12-09
1619129897 Jacksonville, LLC Clinic/Center 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 2008-10-21
1437301611 Jacksonville, LLC Clinic/Center 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 2008-10-21
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 62650

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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