Denise B Jordan (NPI# 1831149459, PAC ID# 1153367081) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1831149459 |
PAC ID by PECOS | 1153367081 |
Professional Enrollment ID | I20050630001001 |
Full Name | Denise B Jordan |
Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
Address |
100 N 8th St East Saint Louis IL 62201-2989 |
Phone Number | 6182749105 |
Gender | F |
Credential | NP |
Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2000 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1456256874 |
Number of Group Practice Members | 77 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140077 | TOUCHETTE REGIONAL HOSPITAL INC |
Address | Phone | Organization |
---|---|---|
100 N 8th St, East Saint Louis, IL 62201-2989 | 6182749105 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
Physicians | 75 |
Name | Specialty | Organization | Address |
---|---|---|---|
Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
James Webb Cole Iii | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
James Howard Hobby | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
Christa L Metzelaars | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 700 Broadway Ave E, Suite 39, Mattoon, IL 61938-4662 |
Shelley D Reichling | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 824 Locust St, Red Bud, IL 62278-1209 |
Chester B Nay | Physician Assistant | Southern Illinois Healthcare Foundation, Inc. | 302 N Mill St, Greenup, IL 62428-1062 |
Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
Susan K Reynolds | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 1215 Vandalia St, Collinsville, IL 62234-4060 |
Alfred Johnson | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
Nanthini Suthan | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2294 |
Street Address |
100 N 8TH ST |
City | EAST SAINT LOUIS |
State | IL |
Zip | 62201-2989 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher Loynd | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 100 N 8th St, East Saint Louis, IL 62201-2989 |
Christopher V Johnson | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 100 N 8th St, East Saint Louis, IL 62201-2989 |
Bassam M Albarcha | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 100 N 8th St, East Saint Louis, IL 62201-2989 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah S Dohrman | Optometry | Curators of The University of Missouri | 601 James R Thompson Blvd, Suite 23030, East Saint Louis, IL 62201-1118 |
Chaney M Bell | Nurse Practitioner | 601 James R Thompson Blvd D, East Saint Louis, IL 62201-1129 | |
Gerthy Cipus Pierre | Nurse Practitioner | 601 James R Thompson Blvd D, East Saint Louis, IL 62201-1129 |
City | EAST SAINT LOUIS |
Zip Code | 62201 |
Specialty | NURSE PRACTITIONER |
City + Specialty | EAST SAINT LOUIS + NURSE PRACTITIONER |
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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.