PC ASSOCIATES, LLC (NPI# 1821302118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821302118 |
| Entity Type | Organization |
| Organization Name | PC ASSOCIATES, LLC |
| Practice Address |
4550 Memorial Dr Suite 340 Belleville IL 62226-5372 |
| Mailing Address |
4500 Memorial Dr Medical Affairs Credentialing Department Belleville IL 62226-5360 |
| Practice Telephone | 6182576200 |
| Practice Fax Number | 6182576679 |
| Mailing Telephone | 6182574644 |
| Mailing Fax Number | 6182576946 |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | JAMES B. DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6182574644 |
| Is Organization Subpart | Y |
| Parent Organization Name | PC ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786460 | Pc Associates, LLC | Family Medicine | 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236-2163 | 2017-08-22 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1386950012 | Pc Associates, LLC | Family Medicine | 1245 S Mill St # 231, Nashville, IL 62263-2004 | 2010-08-18 |
| 1619280112 | Pc Associates, LLC | Family Medicine | 4017 Illinios Rt. 159, Ste 101, Smithton, IL 62285 | 2010-07-26 |
| 1417260613 | Pc Associates, LLC | Family Medicine | 830 Admiral Weinel Blvd, Columbia, IL 62236-1992 | 2010-07-16 |
| 1982917183 | Pc Associates, LLC | Family Medicine | 501 Beltline Road, Ste 20-d, Collinsville, IL 62234-4410 | 2010-07-16 |
| 1184717019 | Pc Associates, LLC | Family Medicine | 310 N. Seven Hills Road, O'fallon, IL 62269 | 2006-10-02 |
| 1881117125 | Pc Associates, LLC | Internal Medicine | 1414 Cross St Ste 230, Shiloh, IL 62269-2988 | 2017-07-19 |
| 1629443601 | Pc Associates, LLC | Family Medicine | 3 Park Pl, Swansea, IL 62226-2965 | 2015-12-02 |
| Street Address |
4550 MEMORIAL DR SUITE 340 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055961 | Lawrence Mcclinton | Physician Assistant | 4550 Memorial Dr, Ste. 280, Belleville, IL 62226-5372 | 2005-06-30 |
| 1902273717 | Tammi Lynn Jones | Nurse Practitioner | 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5372 | 2015-08-27 |
| 1235474057 | Memorial Medical Group, LLC | Anesthesiology | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-12-05 |
| 1013265248 | Deanna L. Rodenberg | Registered Nurse | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-08-20 |
| 1699061259 | Oa Associated LLC | Specialist/Technologist | 4550 Memorial Dr, Moc-1, Suite G-100, Belleville, IL 62226-5372 | 2011-06-22 |
| 1619260932 | Dori Hunt | Nurse Practitioner | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2011-05-19 |
| 1386958668 | Pc Associates, LLC | Family Medicine | 4550 Memorial Dr, Ste 180, Belleville, IL 62226-5372 | 2010-07-29 |
| 1376857656 | Ca Group, LLC | Internal Medicine | 4550 Memorial Dr, Ste 310, Belleville, IL 62226-5372 | 2010-07-29 |
| 1649584921 | Ca Group LLC | Internal Medicine | 4550 Memorial Dr, Suite 320, Belleville, IL 62226-5372 | 2010-07-29 |
| 1295049666 | Msa Alliance, LLC | Urology | 4550 Memorial Dr, Ste 350, Belleville, IL 62226-5372 | 2010-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598147407 | Nilupa Sewwandi Gaspe Mudiyanselage | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2015-06-26 |
| 1851779920 | Mohammed Ismail Al Hamati | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2015-05-11 |
| 1922412717 | Andrea Marie Volkerding | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2014-06-19 |
| 1033486758 | Bushra Shaukat | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2011-11-23 |
| 1346525235 | Akhil Chapagain | Hospitalist | 211 S 3rd St, Apt 2e, Belleville, IL 62220-1915 | 2011-10-11 |
| 1457647927 | Stephanie M Gabathuler | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2011-06-23 |
| 1518253160 | Farhanaz Chowdhury | Hospitalist | 211 S 3rd St, Belleville, IL 62220 | 2011-06-22 |
| 1417992520 | Shadi Adel Altwal | Hospitalist | 4500 Memorial Dr, Belleville, IL 62226 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| 1780128231 | A.m. Healthcare Inc | Hospitalist | 17 E 22nd Pl, Sterling, IL 61081-1263 | 2016-12-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1164888939 | Inpatient Consultants of Illinois, P.C. | Hospitalist | 1333 Butterfield Rd Ste 130, Downers Grove, IL 60515-5641 | 2016-01-11 |
| 1437544764 | Victoria Grace Behrend | Hospitalist | 259 East Erie St, Chicago, IL 60611 | 2015-04-02 |
| 1881088995 | Raksha Nepal | Hospitalist | 4440w 95th St, Oak Lawn, IL 60453-2600 | 2015-03-26 |
| 1639562267 | Alexandra Steverson | Hospitalist | 2322 N Commonwealth Ave Apt 314, Chicago, IL 60614-3408 | 2015-03-06 |
| 1710398474 | Andrew Shabila | Hospitalist | 9977 Woods Dr Ste B70, Skokie, IL 60077-1057 | 2014-05-15 |
| 1124463401 | Forte Hospitalist Services, LLC | Hospitalist | 2250 N. Illinois Ave., Carbondale, IL 62901 | 2013-05-01 |
| 1255774527 | Ketevan Gvalia | Hospitalist | 170 W Polk St Apt 1007, Chicago, IL 60605 | 2013-04-16 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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| 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.