Mark Richard Stivers (NPI# 1417943523, PAC ID# 1951386184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1417943523 |
| PAC ID by PECOS | 1951386184 |
| Professional Enrollment ID | I20170120002395 |
| Full Name | Mark Richard Stivers |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address |
221 Ne Glen Oak Ave 514w Mmg Hospitalists Peoria IL 61636-0001 |
| Phone Number | 3096725729 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 1355259714 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140120 | PEKIN MEMORIAL HOSPITAL |
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1304 Franklin Ave, Normal, IL 61761-3558 | 3092683599 | ADVOCATE HEALTH AND HOSPITALS CORPORATION |
| 600 S 13th St, Pekin, IL 61554-4936 | 3093530799 | PEKIN PROHEALTH INC |
| 221 Ne Glen Oak Ave, 514w Mmg Hospitalists, Peoria, IL 61636-0001 | 3096725729 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 5401 N Knoxville Ave, Peoria, IL 61614-5021 | PROCTOR HEALTH SYSTEMS |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Physicians | 227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Hoffman | Nurse Practitioner | Methodist Medical Center of Illinois | 815 Main St A, Peoria, IL 61602-1080 |
| Alanna M Trettin | Physician Assistant | Methodist Medical Center of Illinois | 815 Main St, A, Peoria, IL 61602-1080 |
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Anne M Look | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Crescent Ave, Peoria, IL 61611-3257 |
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Robert B Adams | Family Practice | Methodist Medical Center of Illinois | 200 River Rd, East Peoria, IL 61611-2095 |
| Street Address |
221 NE GLEN OAK AVE 514W MMG HOSPITALISTS |
| City | PEORIA |
| State | IL |
| Zip | 61636-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Matthew Carpenter | Radiation Oncology | Central Illinois Radiation Oncology Physicians, Ltd | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Craig D Koch | Emergency Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Gretchen J Hackett | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Mckenzie R Likes | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Tonya Sue Vining | Emergency Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Kent C. Webb | Diagnostic Radiology | Specialists In Medical Imaging Sc | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Jeffrey L Williamson | Colorectal Surgery (proctology) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Mmg Cardiology, Peoria, IL 61636-0001 |
| Bethany K Miller | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| David Lloyd | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia C Layton | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Mika Johnson | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anne Rene Webster | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Pooja Gupta | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Aiyub Patel | Pulmonary Disease | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Anota Nwejengoh Akofu | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Praveen R Anegondhi Sudhindra | Internal Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Tammy Burtch | Clinical Social Worker | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Angela Walker | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Dragica Durman | Nurse Practitioner | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636 |
| Find all physicians in zip 61636 | |||
| City | PEORIA |
| Zip Code | 61636 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PEORIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark Richard Stivers.
| 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.