Kevin P Stuckey (NPI# 1851759971, PAC ID# 2062716475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1851759971 |
| PAC ID by PECOS | 2062716475 |
| Professional Enrollment ID | I20160205000158 |
| Full Name | Kevin P Stuckey |
| Organization Legal Name | VITUITY ILLINOIS AUC LLP |
| Address |
12866 Troxler Ave Highland IL 62249-2806 |
| Phone Number | 6186512727 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547516932 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 801 W Temple Ave, Effingham, IL 62401-2168 | 2173471690 | VITUITY ILLINOIS AUC LLP |
| 12866 Troxler Ave, Highland, IL 62249-2806 | 6186512727 | VITUITY ILLINOIS AUC LLP |
| 1512 N Green Mount Rd, O Fallon, IL 62269-2083 | 6186243750 | VITUITY ILLINOIS AUC LLP |
| Organization Legal Name | VITUITY ILLINOIS AUC LLP |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam E Stenger | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Delwin S Merchant | Emergency Medicine | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| Charles E Auer | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Renee A Kohlman | Nurse Practitioner | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| Bethany R Stone | Nurse Practitioner | Vituity Illinois Auc LLP | 1512 N Green Mount Rd, O Fallon, IL 62269-2083 |
| Beth M Heppermann | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Matthew Melamed | Emergency Medicine | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| Nicholas Dean Rathert | Emergency Medicine | Vituity Illinois Auc LLP | 801 W Temple Ave, Effingham, IL 62401-2168 |
| James G Coleman | Physician Assistant | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Ameet S Brahmavar | Emergency Medicine | Vituity Illinois Auc LLP | 900 W Temple Ave, Bldg B, Effingham, IL 62401-2121 |
| Street Address |
12866 TROXLER AVE |
| City | HIGHLAND |
| State | IL |
| Zip | 62249-2806 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam E Stenger | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Charles E Auer | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Rebecca Range | Certified Registered Nurse Anesthetist (crna) | St. Josephs Hospital of The Hospital Sisters of The Third Order of St | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Beth M Heppermann | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Jayne A Morrison | Nurse Practitioner | Cep America-illinois Hospitalists LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| James G Coleman | Physician Assistant | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Donald E Smith | Certified Registered Nurse Anesthetist (crna) | St. Josephs Hospital of The Hospital Sisters of The Third Order of St | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Eric Foster | Emergency Medicine | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Amar Sawar | Rheumatology | 12866 Troxler Ave, Highland, IL 62249-2806 | |
| Heather N Sanders | Physician Assistant | Vituity Illinois Auc LLP | 12866 Troxler Ave, Highland, IL 62249-2806 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Kroll Hurley | Emergency Medicine | Maryville Medical Services LLC | 2504 Commerce, Highland, IL 62249-0017 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Mark Lacich | Chiropractic | 206 Walnut St, Highland, IL 62249-1224 | |
| John W Kleinhoffer | Optometry | 1312 Mercantile Dr, Highland, IL 62249-1240 | |
| Nancy J Taylor | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Breck D Kramper | Nurse Practitioner | Southern Obstetric and Gyneco Associates | 100 Woodcrest Dr, Highland, IL 62249-1255 |
| Pamella S Gronemeyer | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
| Aiman H Hawasli | Pathology | 1270 Mercantile Dr, Highland, IL 62249-1256 | |
| Nathan Scandrett | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
| Laura Michelle Halpin | Physical Therapy | Apex Physical Therapy LLC | 15 Apex Dr, Highland, IL 62249-1282 |
| Find all physicians in zip 62249 | |||
| City | HIGHLAND |
| Zip Code | 62249 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HIGHLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kevin P Stuckey.
| 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.