Jennifer Scagliola (NPI# 1033340823, PAC ID# 2365664935) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1033340823 |
| PAC ID by PECOS | 2365664935 |
| Professional Enrollment ID | I20160114001408 |
| Full Name | Jennifer Scagliola |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Address |
117 E Clark St Harrisburg IL 62946-2702 |
| Phone Number | 6182528625 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2009 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3678677390 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140210 | HARRISBURG MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 117 E Clark St, Harrisburg, IL 62946-2702 | 6182528625 | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Physicians | 338 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Victor Cepeda | Infectious Disease | Southern Illinois Medical Services, Nfp | 3314 Patriot Ct, Herrin, IL 62948-3782 |
| Arsalan Salamat | General Surgery | Southern Illinois Medical Services, Nfp | 1237 E Main St, C1, Carbondale, IL 62901-3148 |
| Motaz R Wraikat | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Mohammed Lawan Gana Guba | Hospitalist | Southern Illinois Medical Services, Nfp | 201 S 14th St, Herrin, IL 62948-3631 |
| Kowsika Movva | Family Medicine | Southern Illinois Medical Services, Nfp | 207 W Jackson St, Suite 102, Carbondale, IL 62901-1408 |
| Hammad Shafqat | Hematology/oncology | Southern Illinois Medical Services, Nfp | 1400 Pin Oak Dr, Carterville, IL 62918-1600 |
| Whitney Celeste Mcguire | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 405 Rushing Dr, Herrin, IL 62948-3730 |
| Jason Liang | Podiatry | Southern Illinois Medical Services, Nfp | 19 E Shawnee Dr, Suite 2, Murphysboro, IL 62966-7072 |
| Saad Ajmal | General Surgery | Southern Illinois Medical Services, Nfp | 317 S 14th St, Suite 1, Herrin, IL 62948-3673 |
| Street Address |
117 E CLARK ST |
| City | HARRISBURG |
| State | IL |
| Zip | 62946-2702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent M Jones | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Brahm Jyot | General Surgery | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Matthew C Winkleman | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Roger D Watters | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Megan M Hoffman | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Anne Melinda Clayton | Clinical Social Worker | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Shannon B Rider | Internal Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Laura M Winkleman | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Adam M Vargo | Family Medicine | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Amanda Jo Brown | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 117 E Clark St, Harrisburg, IL 62946-2702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari Koster | Nurse Practitioner | Community Health and Emergency Services Inc | 205 N Main St, Harrisburg, IL 62946-1256 |
| Tony Fry | Chiropractic | 101 N Gum St, Suite 3, Harrisburg, IL 62946-1567 | |
| Danielle L Baker | Nurse Practitioner | Integrated Health of Southern Illinois Ltd | 303 S Commercial St, Suite 10, Harrisburg, IL 62946-2125 |
| Krystina L Eubanks | Optometry | Eubanks and Daugherty, LLC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Noah J Stearns | Physical Therapy | Joyner Therapy Services | 924 S Commercial St, Harrisburg, IL 62946-2637 |
| Clinton R Ellingson | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Michael Alan Morris | Ophthalmology | Talley Medical-surgical Eye Care Associates PC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Benna K Daugherty | Optometry | Eubanks and Daugherty, LLC | 960 S Commercial St, Harrisburg, IL 62946-2637 |
| Jami M Thomas | Occupational Therapy | Joyner Therapy Services | 924 S Commercial St, Harrisburg, IL 62946-2637 |
| Bric A Steward | Chiropractic | 608 Rollie Moore Dr, Suite 2, Harrisburg, IL 62946-2641 | |
| Find all physicians in zip 62946 | |||
| City | HARRISBURG |
| Zip Code | 62946 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HARRISBURG + GENERAL SURGERY |
Please comment or provide details below to improve the information on Jennifer Scagliola.
| 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.