Motaz R Wraikat (NPI# 1073995684, PAC ID# 3072861996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UNDERSEA AND HYPERBARIC MEDICINE.
| Nation Provider ID (NPI) | 1073995684 |
| PAC ID by PECOS | 3072861996 |
| Professional Enrollment ID | I20180808002168 |
| Full Name | Motaz R Wraikat |
| Organization Legal Name | SOUTHERN ILLINOIS MEDICAL SERVICES, NFP |
| Address |
315 S 14th St Suite 3 Herrin IL 62948-3601 |
| Phone Number | 6189886157 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | UNDERSEA AND HYPERBARIC MEDICINE |
| Secondary Specialties | HOSPITALIST |
| Group Practice PAC ID | 3678677390 |
| Number of Group Practice Members | 325 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140011 | SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL |
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 315 S 14th St, Suite 3, Herrin, IL 62948-3601 | 6189886157 | 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 |
| 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 |
| Amy Nichole Dinga | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Street Address |
315 S 14TH ST SUITE 3 |
| City | HERRIN |
| State | IL |
| Zip | 62948-3601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sahitya Settypalli | Undersea and Hyperbaric Medicine | Southern Illinois Medical Services, Nfp | 315 S 14th St, Suite 3, Herrin, IL 62948-3601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trevor Crabtree | Optometry | Paul C Jacobs Trevor Crabtree Ptr | 223 N Park Ave, Herrin, IL 62948-3149 |
| Gerri Dyer | Nurse Practitioner | Southern Illinois Dermatology, PC | 220 N Park Ave, Suite 2, Herrin, IL 62948-3150 |
| Kelly D Chullen | Chiropractic | 120 E Herrin St, Total Health Chiropractic, Herrin, IL 62948-3163 | |
| Nova M Griffith | Psychologist, Clinical | 121 N 13th St, Suite 2, Herrin, IL 62948-3255 | |
| William Fix | Optometry | Marion Eye Centers Ltd | 321 S Park Ave, Herrin, IL 62948-3603 |
| Ellie Marie Bentley | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Nikita Chevalier | Urology | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 2, Herrin, IL 62948-3612 |
| Benjamin P Roose | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Brett Michael Dempsey | General Surgery | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 3, Herrin, IL 62948-3612 |
| Aimee Michelle Belt | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 220 S Park Ave, Suite 2, Herrin, IL 62948-3612 |
| Find all physicians in zip 62948 | |||
| City | HERRIN |
| Zip Code | 62948 |
| Specialty | UNDERSEA AND HYPERBARIC MEDICINE |
| City + Specialty | HERRIN + UNDERSEA AND HYPERBARIC MEDICINE |
Please comment or provide details below to improve the information on Motaz R Wraikat.
| 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.