Michael Guignon (NPI# 1700973674, PAC ID# 1557493533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1700973674 |
| PAC ID by PECOS | 1557493533 |
| Professional Enrollment ID | I20100712000284 |
| Full Name | Michael Guignon |
| Organization Legal Name | UROLOGY CONSULTANTS LTD |
| Address |
4550 Memorial Dr Suite 280 Belleville IL 62226-5372 |
| Phone Number | 6182773109 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204723786 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| Address | Phone | Organization |
|---|---|---|
| 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 | 6182773109 | UROLOGY CONSULTANTS LTD |
| 4550 Memorial Dr, Belleville, IL 62226-5372 | 6182773109 | UROLOGY CONSULTANTS LTD |
| Organization Legal Name | UROLOGY CONSULTANTS LTD |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia J Relleke | Nurse Practitioner | Urology Consultants Ltd | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Charles D Short | Pathology | Urology Consultants Ltd | 12855 N 40 Dr, Saint Louis, MO 63141-8657 |
| Joel W Slaton | Urology | Urology Consultants Ltd | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Street Address |
4550 MEMORIAL DR SUITE 280 |
| City | BELLEVILLE |
| State | IL |
| Zip | 62226-5372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Rybak | Urology | Urology of St. Louis, Inc | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Tammi L Jones | Nurse Practitioner | Rashid A Dalal Md PC | 4550 Memorial Dr, Suite 360, Belleville, IL 62226-5369 |
| Patricia J Relleke | Nurse Practitioner | Urology Consultants Ltd | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Linsey K Krafve | Physician Assistant | Ca Group LLC | 4550 Memorial Dr, Belleville, IL 62226-5372 |
| Joel W Slaton | Urology | Urology Consultants Ltd | 4550 Memorial Dr, Suite 280, Belleville, IL 62226-5372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Jennifer S Middendorf | Nurse Practitioner | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| David L Eisenberg | Obstetrics/gynecology | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Jessica L Schneider | Nurse Practitioner | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Ashley R Brown | Clinical Social Worker | 4460 N Illinois St, Suite 7, Swansea, IL 62226-1899 | |
| Brandon Cory Steele | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Timothy J Bertelsman | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Homer A Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | |
| Daniel P Walsh | Optometry | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Find all physicians in zip 62226 | |||
| City | BELLEVILLE |
| Zip Code | 62226 |
| Specialty | UROLOGY |
| City + Specialty | BELLEVILLE + UROLOGY |
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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.