Ekaterina Kostioukhina (NPI# 1407199185, PAC ID# 0244518769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1407199185 |
| PAC ID by PECOS | 0244518769 |
| Professional Enrollment ID | I20161103000060 |
| Full Name | Ekaterina Kostioukhina |
| Organization Legal Name | BUTLER PHYSICIAN SERVICES, LLC |
| Address |
3100 Oak Grove Rd Poplar Bluff MO 63901-1573 |
| Phone Number | 5737857721 |
| Gender | F |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6608164561 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| 220126 | NORWOOD HOSPITAL |
| 220073 | MORTON HOSPITAL |
| 220010 | LAWRENCE GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 736 Cambridge St, Brighton, MA 02135-2907 | 6177893000 | STEWARD MEDICAL GROUP INC |
| 140 Lincoln Ave, Haverhill, MA 01830-6700 | 9783742000 | STEWARD MEDICAL GROUP INC |
| 1 General St, Lawrence, MA 01841-2961 | 9789468455 | LAWRENCE GENERAL HOSPITAL |
| 70 E St, Holy Family Hospital, Methuen, MA 01844-4597 | 9786870156 | STEWARD MEDICAL GROUP INC |
| 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 5737857721 | BUTLER PHYSICIAN SERVICES, LLC |
| Organization Legal Name | BUTLER PHYSICIAN SERVICES, LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Muhammad Shabbir Ijaz | Internal Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Sergio M Rodriguez | Family Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Cynthia M Troiano | Family Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Kaci M Oneill | Nurse Practitioner | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mohamed Abdalaziz | Family Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Candice L Copeland | Nurse Practitioner | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Rachel J Smith | Nurse Practitioner | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Abhishek Ambarisha Bhandiwad | Internal Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Anantha M Devineni | Internal Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Street Address |
3100 OAK GROVE RD |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-1573 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kashif Hameed | Psychiatry | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Zachary Clark Willis | General Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Brenda Ann Mcgehee | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hasan Shanawani | Pulmonary Disease | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Jay S Jones | Orthopedic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Muhammad Shabbir Ijaz | Internal Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Sergio M Rodriguez | Family Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Richard L Crayton | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Cynthia M Troiano | Family Medicine | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Kimberly A Schisler | Family Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | POPLAR BLUFF + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ekaterina Kostioukhina.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.