CHARLES R SCHRANCK JR. (NPI# 1912098807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912098807 |
Entity Type | Individual |
Full Name | CHARLES R SCHRANCK JR. |
Credential | MD |
Practice Address |
One Memorial Drive Alton Memorial Hospital Alton IL 62002 |
Mailing Address |
55 Westport Plaza Drive Suite 300 St Louis MO 63146 |
Practice Telephone | 6184637415 |
Practice Fax Number | 3148212180 |
Mailing Telephone | 3145484772 |
Mailing Fax Number | 3145484748 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2010-04-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036080149 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 208893305 | 05 |
Street Address |
ONE MEMORIAL DRIVE ALTON MEMORIAL HOSPITAL |
City | ALTON |
State | IL |
Zip Code | 62002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851542013 | Intensivo LLC | Internal Medicine | One Memorial Drive, Alton, IL 62002 | 2008-10-07 |
1699969139 | Cynthia Rublaitus | Social Worker | One Memorial Drive, Senior Renewal Program-olin Wing, Alton, IL 62002-6722 | 2007-08-28 |
1245317304 | Kevin L Shady | Radiology | One Memorial Drive, Alton Memorial Hospital, Alton, IL 62002 | 2006-11-01 |
1083642003 | Anesthesia Associates of St. Louis, Inc. | Nurse Anesthetist, Certified Registered | One Memorial Drive, Alton, IL 62002-6722 | 2006-06-29 |
1376599480 | Ali Sherif Eldin | Anesthesiology | One Memorial Drive, Alton, IL 63136-6119 | 2006-05-26 |
1225092802 | Molly Marie Kemner | Specialist/Technologist | One Memorial Drive, Alton, IL 62002 | 2006-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
Find all providers in zip 62002 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245317304 | Kevin L Shady | Radiology | One Memorial Drive, Alton Memorial Hospital, Alton, IL 62002 | 2006-11-01 |
1821189168 | Radiologic Physicians Ltd | Radiology | 1 Saint Anthonys Way, Radiology Department, Alton, IL 62002-4568 | 2006-09-28 |
1578661161 | Edward F Ragsdale | Radiology | One Medical Drive, Alton Memorial Hospital, Alton, IL 62002 | 2006-09-20 |
1457361065 | Samuel J Essma | Radiology | 1 Memorial Dr, Alton Memorial Hospital, Alton, IL 62002-6722 | 2006-08-08 |
1295782480 | David Robert Huyette | Radiology | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2006-05-31 |
1700847761 | Gino Diiorio | Radiology | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2006-03-30 |
1760443741 | Ronald P Levy | Radiology | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2006-03-30 |
1821058397 | John L Zabrowski | Radiology | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2006-03-27 |
1790745297 | Banti Mahanta | Radiology | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2006-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
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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.