Jennifer S Middendorf (NPI# 1720421175, PAC ID# 2769624592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1720421175 |
| PAC ID by PECOS | 2769624592 |
| Professional Enrollment ID | I20130807000763 |
| Full Name | Jennifer S Middendorf |
| Organization Legal Name | INTERVENTIONAL PAIN MEDICINE LLC |
| Address |
1 Bronze Pointe Blvd Suite 1a Swansea IL 62226-1045 |
| Phone Number | 6184079363 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0941368757 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140185 | MEMORIAL HOSPITAL |
| 140046 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 | 6184079363 | INTERVENTIONAL PAIN MEDICINE LLC |
| Organization Legal Name | INTERVENTIONAL PAIN MEDICINE LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Ashley R Bingman | Nurse Practitioner | Interventional Pain Medicine LLC | 1007 S 42nd St, Suite 1, Mount Vernon, IL 62864-6217 |
| Street Address |
1 BRONZE POINTE BLVD SUITE 1A |
| City | SWANSEA |
| State | IL |
| Zip | 62226-1045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naheed T Bashir | Interventional Radiology | Interventional Pain Medicine LLC | 1 Bronze Pointe Blvd, Suite 1a, Swansea, IL 62226-1045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Eisenberg | Obstetrics/gynecology | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Jessica L Schneider | Nurse Practitioner | Planned Parenthood of The St. Louis Region and Southwest Missouri | 4529 N Illinois St, Swansea, IL 62226-1534 |
| Ashley R Brown | Clinical Social Worker | 4460 N Illinois St, Suite 7, Swansea, IL 62226-1899 | |
| Brandon Cory Steele | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Timothy J Bertelsman | Chiropractic | Premier Rehab Ltd | 4460 N Illinois, Suite 5, Swansea, IL 62226-1899 |
| Robert Hellman | Anesthesiology | Eye Anesthesia LLC | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Homer A Ferguson Jr. | Ophthalmology | 3990 N Illinois St, Swansea, IL 62226-1919 | |
| Daniel P Walsh | Optometry | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Jeffrey M Maher | Ophthalmology | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Eric Wigton | Ophthalmology | Jfj Eyecare Ltd | 3990 N Illinois St, Swansea, IL 62226-1919 |
| Find all physicians in zip 62226 | |||
| City | SWANSEA |
| Zip Code | 62226 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SWANSEA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer S Middendorf.
| 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.