Melissa S Mclain (NPI# 1639681265, PAC ID# 2062775836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1639681265 |
| PAC ID by PECOS | 2062775836 |
| Professional Enrollment ID | I20180409000117 |
| Full Name | Melissa S Mclain |
| Organization Legal Name | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| Address |
530 Park Ave E Princeton IL 61356-3901 |
| Phone Number | 8158758666 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739148115 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141337 | PERRY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 530 Park Ave E, Princeton, IL 61356-3901 | 8158758666 | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| Organization Legal Name | ASSOCIATED GASTROENTEROLOGY CONSULTANTS INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Flanagan | Certified Clinical Nurse Specialist (cns) | Associated Gastroenterology Consultants Inc | 1304 Gemini Cir, Suite 1, Ottawa, IL 61350-1690 |
| Edward Doran | Internal Medicine | Associated Gastroenterology Consultants Inc | 1310 Maple Dr, Peru, IL 61354-1361 |
| Angela Massutti | Nurse Practitioner | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Geetha Dodda | Internal Medicine | Associated Gastroenterology Consultants Inc | 1310 Maple Dr, Peru, IL 61354-1361 |
| Vishnu Naravadi | Gastroenterology | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Jenny L Gaworski | Nurse Practitioner | Associated Gastroenterology Consultants Inc | 1304 Gemini Cir, Suite 1, Ottawa, IL 61350-1690 |
| Kristie L Shin | Physician Assistant | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Street Address |
530 PARK AVE E |
| City | PRINCETON |
| State | IL |
| Zip | 61356-3901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ketan Patel | Internal Medicine | 530 Park Ave E, Suite 101, Princeton, IL 61356-3901 | |
| Angela Massutti | Nurse Practitioner | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Joseph B Mallory | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 530 Park Ave E, Perry Memorial Hosp, Princeton, IL 61356-3901 |
| Vishnu Naravadi | Gastroenterology | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Kristie L Shin | Physician Assistant | Associated Gastroenterology Consultants Inc | 530 Park Ave E, Princeton, IL 61356-3901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara J Swalve Everett | Chiropractic | 222 N Main St, Princeton, IL 61356-1727 | |
| Richard C Everett | Chiropractic | 222 N Main St, Princeton, IL 61356-1727 | |
| Leslie E Lund | Chiropractic | 325 N Main St, Princeton, IL 61356-1728 | |
| Jarred A Farrell | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Dennis A Farrell | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Lori A Schultz | Chiropractic | Dennis A Farrell Enterprises Ltd | 682 E Peru St, Princeton, IL 61356-1869 |
| Jeffrey P Martin | Chiropractic | 516 S Pleasant St, Princeton, IL 61356-1953 | |
| Donald Ray Marion | Optometry | 2 Park Ave W, Princeton, IL 61356-2019 | |
| Robert Mark Adler | Chiropractic | 17 E Peru St, Princeton, IL 61356-2031 | |
| Lisa M Johnson | Clinical Social Worker | 28 E Marion St, Suite 25, Princeton, IL 61356-2093 | |
| Find all physicians in zip 61356 | |||
| City | PRINCETON |
| Zip Code | 61356 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PRINCETON + NURSE PRACTITIONER |
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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.