Alexander David Raw (NPI# 1316387947, PAC ID# 0840551487) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
Nation Provider ID (NPI) | 1316387947 |
PAC ID by PECOS | 0840551487 |
Professional Enrollment ID | I20180222002873 |
Full Name | Alexander David Raw |
Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
Address |
1600 W Walnut St Jacksonville IL 62650-1199 |
Phone Number | 2175458000 |
Gender | M |
Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | OBSTETRICS/GYNECOLOGY |
Group Practice PAC ID | 2365352820 |
Number of Group Practice Members | 236 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140058 | PASSAVANT AREA HOSPITAL |
140148 | MEMORIAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1600 W Walnut St, Jacksonville, IL 62650-1199 | 2175458000 | SIU PHYSICIANS AND SURGEONS INC |
415 N 9th St, Springfield, IL 62702-5303 | 2175455817 | SIU PHYSICIANS AND SURGEONS INC |
Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
Physicians | 259 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda M Clouser | Nurse Practitioner | Siu Physicians and Surgeons Inc | 315 W Carpenter St, Springfield, IL 62702-4901 |
Kristina Epplin Sondgeroth | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 400 N 9th St, 3rd Floor Clinic B, Springfield, IL 62702-5310 |
Evans M Mutua | Nurse Practitioner | Siu Physicians and Surgeons Inc | 720 N Bond St, Springfield, IL 62702-4952 |
Lori A Bland | Nurse Practitioner | Siu Physicians and Surgeons Inc | 102 W Kenwood Ave, Lowr Level, Decatur, IL 62526-4368 |
Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
Basar Cenik | Psychiatry | Siu Physicians and Surgeons Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
Momin Saulat Siddique | Cardiovascular Disease (cardiology) | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
Kaylie A Caswell | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1100 E Lincolnshire Blvd, Suite 200, Springfield, IL 62703-5950 |
Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
Street Address |
1600 W WALNUT ST |
City | JACKSONVILLE |
State | IL |
Zip | 62650-1199 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Helen D Kwong | Internal Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
William G Loveland | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Ahmed M Ibn-mahfoudh | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
Tracy A Stucker | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Nathan M Jones | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Susan S Wexler | Emergency Medicine | Midwest Emergency Department Specialists Ltd | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Charles M Sheaff | General Surgery | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Timothy A Vanfleet | Orthopedic Surgery | Orthopaedic Center of Il | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Julie W Tennill | Clinical Social Worker | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Muhammad Khattak | Nephrology | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
Find all physicians in zip 62650 |
City | JACKSONVILLE |
Zip Code | 62650 |
Specialty | OBSTETRICS/GYNECOLOGY |
City + Specialty | JACKSONVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Alexander David Raw.
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.