David I Blue (NPI# 1013230119, PAC ID# 1951430107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1013230119 |
| PAC ID by PECOS | 1951430107 |
| Professional Enrollment ID | I20100526000323 |
| Full Name | David I Blue |
| Organization Legal Name | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Address |
1 Good Samaritan Way Mount Vernon IL 62864-2402 |
| Phone Number | 6188994600 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1658272059 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3003 Civic Circle Boulevard, Marion Healthcare Surgery Center, Marion, IL 62959-5259 | 6189931112 | MARION ANESTHESIA COMPANY LLC |
| 3333 W Deyoung St, Marion, IL 62959-5884 | 6189987000 | MARION HOSPITAL CORPORATION |
| 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | 6188994600 | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 6188993869 | ANESTHESIA ASSOCIATES OF SOUTHERN ILLINOIS LLC |
| Organization Legal Name | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Physicians | 60 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn M Followell | Nurse Practitioner | Good Samaritan Regional Health Center | 605 N 12th St, Mount Vernon, IL 62864-2857 |
| Qing K Luo | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Rosa E Turcios | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Esther L Schulz | Family Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Norman E Howe | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Irfan Choudhry | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Erica Lynne Ibendahl | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Kevin B Claffey | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Yvette Rene Walker | Anesthesiology | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Misty Wernsman | Nurse Practitioner | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Street Address |
1 GOOD SAMARITAN WAY |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-2402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Qing K Luo | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Rosa E Turcios | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Esther L Schulz | Family Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Norman E Howe | Certified Registered Nurse Anesthetist (crna) | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Irfan Choudhry | Internal Medicine | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Erica Lynne Ibendahl | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Kevin B Claffey | General Surgery | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Yvette Rene Walker | Anesthesiology | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Misty Wernsman | Nurse Practitioner | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Jeffrey Schultz | Anesthesiology | Good Samaritan Regional Health Center | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Troy W Johnson | Optometry | Clarkson Optometry Illinois PC | 3000 Broadway St, Mount Vernon, IL 62864-2340 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | MOUNT VERNON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.