Michael B Little (NPI# 1093915902, PAC ID# 1052577160) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1093915902 |
| PAC ID by PECOS | 1052577160 |
| Professional Enrollment ID | I20120718000121 |
| Full Name | Michael B Little |
| Organization Legal Name | SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC |
| Address |
1400 Pin Oak Dr Carterville IL 62918-1600 |
| Phone Number | 61898533332 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2007 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 7315040474 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 140210 | HARRISBURG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1400 Pin Oak Dr, Carterville, IL 62918-1600 | 61898533332 | SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC |
| Organization Legal Name | SOUTHERN ILLINOIS RADIATION ONCOLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George H Kao | Radiation Oncology | Southern Illinois Radiation Oncology LLC | 405 W Jackson, Carbondale, IL 62901-1462 |
| Mary Katherine Dean | Radiation Oncology | Southern Illinois Radiation Oncology LLC | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Emily A Taylor | Nurse Practitioner | Southern Illinois Radiation Oncology LLC | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Street Address |
1400 PIN OAK DR |
| City | CARTERVILLE |
| State | IL |
| Zip | 62918-1600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hammad Shafqat | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Sherry Michele Williams | Hospice/palliative Care | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Bachir Farah | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Mary Katherine Dean | Radiation Oncology | Southern Illinois Radiation Oncology LLC | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Bachir Berbari | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Brenda L Carter | Clinical Social Worker | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Suven Shankar | Surgical Oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Emily A Taylor | Nurse Practitioner | Southern Illinois Radiation Oncology LLC | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Kristin Francis | Clinical Social Worker | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| John Robert Clement | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Babu Prasad | Interventional Pain Management | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
| Cassandra Marie Vestal | Nurse Practitioner | Pain Management Center Sc | 108 N Division St, Carterville, IL 62918-1245 |
| Melinda B Moore | Podiatry | 807 S Division St, Carterville, IL 62918-1528 | |
| Matin Nekzad | Family Medicine | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Christina Trapp | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Sara Hoyle | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Patricia A Boudet | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Ethan Weshinskey | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Gerald R Cameron | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Kathryn M Mcmurphy | Physician Assistant | Shawnee Health Service and Development Corp | 1006 S Division St, Carterville, IL 62918-1539 |
| Find all physicians in zip 62918 | |||
| City | CARTERVILLE |
| Zip Code | 62918 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | CARTERVILLE + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Michael B Little.
| 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.