Courtney A Tobin (NPI# 1134432065, PAC ID# 1456575836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1134432065 |
| PAC ID by PECOS | 1456575836 |
| Professional Enrollment ID | I20140605001661 |
| Full Name | Courtney A Tobin |
| Organization Legal Name | DISTINCTIVE DERMATOLOGY LTD |
| Address |
390 Office Ct Fairview Heights IL 62208-2059 |
| Phone Number | 6182337666 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1850365842 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 140185 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 390 Office Ct, Fairview Heights, IL 62208-2059 | 6182337666 | DISTINCTIVE DERMATOLOGY LTD |
| 1755 S Grand Blvd, Saint Louis, MO 63104-1540 | 3142563400 | ST LOUIS UNIVERSITY |
| 3635 Vista Ave, Saint Louis, MO 63110-2539 | 3142683400 | ST LOUIS UNIVERSITY |
| 3655 Vista Ave, Saint Louis, MO 63110-2539 | 3142563400 | ST LOUIS UNIVERSITY |
| Organization Legal Name | DISTINCTIVE DERMATOLOGY LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Sutton | Dermatology | Distinctive Dermatology Ltd | 390 Office Ct, Fairview Heights, IL 62208-2059 |
| Terri D Furfaro | Nurse Practitioner | Distinctive Dermatology Ltd | 390 Office Ct, Fairview Heights, IL 62208-2059 |
| Susan L Journagan | Dermatology | Distinctive Dermatology Ltd | 390 Office Ct, Fairview Heights, IL 62208-2059 |
| Street Address |
390 OFFICE CT |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip | 62208-2059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Sutton | Dermatology | Distinctive Dermatology Ltd | 390 Office Ct, Fairview Heights, IL 62208-2059 |
| Terri D Furfaro | Nurse Practitioner | Distinctive Dermatology Ltd | 390 Office Ct, Fairview Heights, IL 62208-2059 |
| Susan L Journagan | Dermatology | Distinctive Dermatology Ltd | 390 Office Ct, Fairview Heights, IL 62208-2059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Derby | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Lowell G Sensintaffar | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Anthony Truong | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Tara Helfrich | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Bassim Assioun | Nephrology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Erica P Criss | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Marc D Mccleary | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Kostantinos E Psihramis | Urology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Nell Ann Schmits Hennon | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Mounir Mikhail Shenouda | Internal Medicine | Fairview Medical Group LLC | 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 |
| Find all physicians in zip 62208 | |||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
| Specialty | DERMATOLOGY |
| City + Specialty | FAIRVIEW HEIGHTS + DERMATOLOGY |
Please comment or provide details below to improve the information on Courtney A Tobin.
| 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.