SIU PHYSICIANS & SURGEONS, INC


Address: 315 W Carpenter St, Springfield, IL 62702-4901
Phone: 2175455817

SIU PHYSICIANS & SURGEONS, INC (NPI# 1871882787) 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) 1871882787
Entity Type Organization
Organization Name SIU PHYSICIANS & SURGEONS, INC
Other Organization Name SIU HEALTHCARE
Practice Address 315 W Carpenter St
Springfield
IL 62702-4901
Mailing Address Po Box 19639
Springfield
IL 62794-9639
Practice Telephone 2175455817
Practice Fax Number 2175451141
Mailing Telephone 2175457578
Mailing Fax Number 2175451884
Enumeration Date 2011-03-31
Last Update Date 2019-09-05
Authorized Official Name JERRY KRUSE (CEO)
Authorized Official Telephone 2175457876
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0000X Internal Medicine
Specialization: Hematology
Allopathic & Osteopathic Physicians
N 332B00000X Durable Medical Equipment & Medical Supplies ========= IL Suppliers
N 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
========= IL Suppliers
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
SIU HealthCare Doing Business As Name - 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
1053804443 Siu Physicians & Surgeons, Inc Clinic/Center 610 N Westgate Ave, Jacksonville, IL 62650-1152 2018-06-11
1457807869 Siu Physicians & Surgeons, Inc Clinic/Center 608 S Main St, Anna, IL 62906-1247 2016-08-27
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 315 W CARPENTER ST
City SPRINGFIELD
State IL
Zip Code 62702-4901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457348401 Jan Rakinic Colon & Rectal Surgery 315 W Carpenter St, 2nd Floor, Springfield, IL 62702-4901 2005-10-04
1124634290 Amanda C Lee Nurse Practitioner 315 W Carpenter St, Springfield, IL 62702-4901 2020-09-23
1255703971 Michelle C Gates Psychologist 315 W Carpenter St, 1st Floor, Clinic A, Springfield, IL 62702-4901 2015-10-21
1639561285 Jessica Dour Nurse Practitioner 315 W Carpenter St, 2nd Floor, Clinic C, Springfield, IL 62702-4901 2015-02-19
1629499769 Patricia Marie Fank Psychologist 315 W Carpenter St, 1st Floor, Springfield, IL 62702-4901 2013-12-16
1376977371 Anita D. Schwab Nurse Practitioner 315 W Carpenter St, 1st Floor, Springfield, IL 62702-4901 2013-08-26
1376881136 Dodie Gazda Nurse Practitioner 315 W Carpenter St, Clinic B, Springfield, IL 62702-4901 2013-01-29
1083962583 Emily S Lane Social Worker 315 W Carpenter St, 3rd Floor, Springfield, IL 62702-4901 2012-08-15
1265792196 Kyungsuk Jung Internal Medicine 315 W Carpenter St, Clinic B, Springfield, IL 62702 2012-05-25
1215205109 Shelda Iverson Borders Psychologist 315 W Carpenter St, 3rd Floor, Springfield, IL 62702-4901 2011-12-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
Find all providers in zip 62702

Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295826014 Thomas Patrick Trezona Internal Medicine 3783 International Ct Ste 200, Springfield, OR 97477-1025 2006-09-27
1356441943 Osvaldo H Wesly Internal Medicine 105 S. Amos Ave, Springfield, IL 62704 2006-09-23
1346353604 Murray Bedford PC Internal Medicine 222 Carew St Ste 301, Springfield, MA 01104-4103 2006-08-17
1215923800 Donald J. Higby Internal Medicine 3350 Main Street, Springfield, MA 01199 2005-09-20
1174173165 American Oncology Partners, P.a. Internal Medicine 3850 S National Ave Ste 600, Springfield, MO 65807-5230 2019-09-12
1336465715 Dawn J Brooks Internal Medicine 3350 Main Street, Springfield, MA 01107 2010-04-11
1578701116 Zaw Min Bo Internal Medicine 148 W North St, Springfield, OH 45504-2547 2009-02-03
1528155967 Ruth Ann Nevils Internal Medicine 3801 S National Ave, Springfield, MO 65807 2006-10-06
1457445579 Ernest C Lewis Internal Medicine 2115 S Fremont Ave, Suite 1000, Springfield, MO 65804-2239 2006-10-03
1477659126 Karen L. Hoelzer Internal Medicine 900 N. 1st Street, Springfield, IL 62702-3749 2006-09-16
Find all providers in SPRINGFIELD

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 62702

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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