Sam Gaines (NPI# 1730115643, PAC ID# 3870406861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1730115643 |
| PAC ID by PECOS | 3870406861 |
| Professional Enrollment ID | I20040122001131 |
| Full Name | Sam Gaines |
| Organization Legal Name | IHC-SPRINGFIELD EMERGENCY PHYSICIANS LLC |
| Address |
800 E Carpenter St Springfield IL 62769-0001 |
| Phone Number | 2175446464 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4183984909 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 E Carpenter St, Springfield, IL 62769-0001 | 2175446464 | IHC-SPRINGFIELD EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | IHC-SPRINGFIELD EMERGENCY PHYSICIANS LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey N Fulscher | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Kristen S Stampehl | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Janda T Stevens | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Carol A Goetz | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Nate S Blaustein | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Jeffery A Zettler | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Dennis J Goldberg | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Douglas William Carlson | Pediatric Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Christi Mari Lindorfer-campbell | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Thomas T Stewart | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Street Address |
800 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62769-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey N Fulscher | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Cassi B Grotepas | Pathology | Associated Pathologists Ltd | 800 E Carpenter St, Springfield, IL 62769-0002 |
| Onsi W Kamel | Pathology | Associated Pathologists Ltd | 800 E Carpenter St, Springfield, IL 62769-0002 |
| Kristen S Stampehl | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Janda T Stevens | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Patrick R Hemmer | Pathology | Associated Pathologists Ltd | 800 E Carpenter St, Springfield, IL 62769-0002 |
| Carol A Goetz | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Thomas Wesley Czeczok | Pathology | Associated Pathologists Ltd | 800 E Carpenter St, Springfield, IL 62769-0002 |
| Lena Scherba | Pathology | Associated Pathologists Ltd | 800 E Carpenter St, Springfield, IL 62769-0002 |
| Nate S Blaustein | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery A Zettler | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Dennis J Goldberg | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Douglas William Carlson | Pediatric Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Christi Mari Lindorfer-campbell | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Thomas T Stewart | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Maureen M D Angelo | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Rebecka R Lopez | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Kelsey L Clanton | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Gina P Diederich | Nurse Practitioner | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Chinmay Y Patel | Emergency Medicine | Ihc-springfield Emergency Physicians LLC | 800 E Carpenter St, Springfield, IL 62769-0001 |
| Find all physicians in zip 62769 | |||
| City | SPRINGFIELD |
| Zip Code | 62769 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SPRINGFIELD + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Sam Gaines.
| 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.