Michael Ambrose (NPI# 1538398680, PAC ID# 2961489034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1538398680 |
| PAC ID by PECOS | 2961489034 |
| Professional Enrollment ID | I20040707000149 |
| Full Name | Michael Ambrose |
| Address |
5036 N Illinois St Suite 1 Fairview Heights IL 62208-3418 |
| Gender | M |
| Credential | DC |
| Graduation Year | 2009 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5036 N Illinois St, Suite 1, Fairview Heights, IL 62208-3418 | ||
| 2100 Madison Ave, Granite City, IL 62040-4713 | 6188331691 | GRANITE CITY HOSPITALIST SERVICES LLC |
| Street Address |
5036 N ILLINOIS ST SUITE 1 |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| Zip | 62208-3418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Albers | Nurse Practitioner | Center for Advanced Medicine LLC | 5036 N Illinois St, Fairview Heights, IL 62208-3411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard C Derby | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Lowell G Sensintaffar | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Anthony Truong | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Tara Helfrich | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Bassim Assioun | Nephrology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Erica P Criss | Nurse Practitioner | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Marc D Mccleary | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Kostantinos E Psihramis | Urology | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Nell Ann Schmits Hennon | Family Medicine | Hshs Medical Group Inc | 5 Ludwig Dr, Fairview Heights, IL 62208-1332 |
| Mounir Mikhail Shenouda | Internal Medicine | Fairview Medical Group LLC | 331 Salem Pl, Suite 100, Fairview Heights, IL 62208-1340 |
| Find all physicians in zip 62208 | |||
| City | FAIRVIEW HEIGHTS |
| Zip Code | 62208 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FAIRVIEW HEIGHTS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Michael Ambrose.
| 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.