Victor Cepeda (NPI# 1033524715, PAC ID# 1355647314) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.
| Nation Provider ID (NPI) | 1033524715 |
| PAC ID by PECOS | 1355647314 |
| Professional Enrollment ID | I20190710000893 |
| Full Name | Victor Cepeda |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Address |
3314 Patriot Ct Herrin IL 62948-3782 |
| Phone Number | 6189930056 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | INFECTIOUS DISEASE |
| Group Practice PAC ID | 3678677390 |
| Number of Group Practice Members | 325 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3314 Patriot Ct, Herrin, IL 62948-3782 | 6189930056 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Physicians | 338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Arsalan Salamat | General Surgery | Southern Illinois Medical Services, Nfp | 1237 E Main St, C1, Carbondale, IL 62901-3148 |
| Motaz R Wraikat | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Mohammed Lawan Gana Guba | Hospitalist | Southern Illinois Medical Services, Nfp | 201 S 14th St, Herrin, IL 62948-3631 |
| Kowsika Movva | Family Medicine | Southern Illinois Medical Services, Nfp | 207 W Jackson St, Suite 102, Carbondale, IL 62901-1408 |
| Hammad Shafqat | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Whitney Celeste Mcguire | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 405 Rushing Dr, Herrin, IL 62948-3730 |
| Jason Liang | Podiatry | Southern Illinois Medical Services, Nfp | 19 E Shawnee Dr, Suite 2, Murphysboro, IL 62966-7072 |
| Saad Ajmal | General Surgery | Southern Illinois Medical Services, Nfp | 317 S 14th St, Suite 1, Herrin, IL 62948-3673 |
| Amy Nichole Dinga | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Street Address |
3314 PATRIOT CT |
| City | HERRIN |
| State | IL |
| Zip | 62948-3782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda D Bobo | Infectious Disease | Southern Illinois Medical Services, Nfp | 3314 Patriot Ct, Herrin, IL 62948-3782 |
| Kristin R Betz | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 3314 Patriot Ct, Herrin, IL 62948-3782 |
| Lori L Ellett | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 3314 Patriot Ct, Herrin, IL 62948-3782 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Crabtree | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 223 N Park Ave, Herrin, IL 62948-3149 |
| Gerri Dyer | Nurse Practitioner | Southern Illinois Dermatology, PC | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
| Kelly D Chullen | Chiropractic | 120 E Herrin St, Total Health Chiropractic, Herrin, IL 62948-3163 | |
| Nova M Griffith | Psychologist, Clinical | 121 N 13th St, Suite 2, Herrin, IL 62948-3255 | |
| Motaz R Wraikat | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Sahitya Settypalli | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| William Fix | Optometry | Marion Eye Centers Ltd | 321 S Park Ave, Herrin, IL 62948-3603 |
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Nikita Chevalier | Urology | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 2, Herrin, IL 62948-3612 |
| Benjamin P Roose | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Find all physicians in zip 62948 | |||
| City | HERRIN |
| Zip Code | 62948 |
| Specialty | INFECTIOUS DISEASE |
| City + Specialty | HERRIN + INFECTIOUS DISEASE |
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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.