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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SIU HealthCare | Other Name - Individual/Organization |
SIU Womens Health Center | Other Name - Individual/Organization |
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 |
Street Address |
610 N WESTGATE AVE |
City | JACKSONVILLE |
State | IL |
Zip Code | 62650-1152 |
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 |
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 Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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 |
City | JACKSONVILLE |
Zip Code | 62650 |
Please comment or provide details below to improve the information on SIU PHYSICIANS & SURGEONS, INC.
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.