Ethan S Turner (NPI# 1003463530, PAC ID# 4183954191) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1003463530 |
| PAC ID by PECOS | 4183954191 |
| Professional Enrollment ID | I20190917004100 |
| Full Name | Ethan S Turner |
| Organization Legal Name | PHOENIX PHYSICAL THERAPY |
| Address |
1225 S Hamilton St Sullivan IL 61951-2257 |
| Phone Number | 2177282005 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 5991861049 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1225 S Hamilton St, Sullivan, IL 61951-2257 | 2177282005 | PHOENIX PHYSICAL THERAPY |
| Organization Legal Name | PHOENIX PHYSICAL THERAPY |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moira Margaret Barone | Physical Therapy | Phoenix Physical Therapy | 4 Cougar Dr, Suite A, Glen Carbon, IL 62034-2995 |
| Christopher J Amick | Physical Therapy | Phoenix Physical Therapy | 610 E City Route 40, Greenville, IL 62246-2535 |
| Brian Buescher | Physical Therapy | Phoenix Physical Therapy | 7 Emerald Ter, Swansea, IL 62226-2321 |
| Kane M Freeman | Physical Therapy | Phoenix Physical Therapy | 2100 W S 3rd St, Shelbyville, IL 62565 |
| Joseph S Prewitt | Physical Therapy | Phoenix Physical Therapy | 4943 Germantown Ave, Suite 45, Philadelphia, PA 19144-5962 |
| Tyler Detmer | Physical Therapy | Phoenix Physical Therapy | 7 Emerald Ter, Swansea, IL 62226-2321 |
| Timothy S Zickus | Physical Therapy | Phoenix Physical Therapy | 7 Emerald Ter, Swansea, IL 62226-2321 |
| Amy J Summers | Physical Therapy | Phoenix Physical Therapy | 2100 W S 3rd St, Shelbyville, IL 62565 |
| Michael P Irving | Physical Therapy | Phoenix Physical Therapy | 610 E City Route 40, Greenville, IL 62246-2535 |
| Emily Renee Place | Physical Therapy | Phoenix Physical Therapy | 7 Emerald Ter, Swansea, IL 62226-2321 |
| Street Address |
1225 S HAMILTON ST |
| City | SULLIVAN |
| State | IL |
| Zip | 61951-2257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine L Harley | Chiropractic | 221 N Anderson St, Sullivan, IL 61951-1001 | |
| Robert H Butts | Family Medicine | Decatur Memorial Hospital | 1220 W Jackson St, Sullivan, IL 61951-1032 |
| David L Cole | Clinical Social Worker | 12 W Harrison St, Sullivan, IL 61951-1907 | |
| Richard W Kruckeberg | Physical Therapy | 18 W Harrison St, Sullivan, IL 61951-1907 | |
| Craig M Bretz | Chiropractic | 101 W Jefferson St A, Sullivan, IL 61951-1914 | |
| Jeanne M Kairouz | Cardiovascular Disease (cardiology) | Prairie Cardiovascular Consultants Ltd | 2 W Adams St, Sullivan Family Care, Sullivan, IL 61951-1943 |
| Whitney Kauffman | Physician Assistant | Faisal Bukhari Md Sc | 2 W Adams St, Sullivan, IL 61951-1943 |
| James M Bock | Family Medicine | Hshs Medical Group Inc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Faisal Bukhari | Internal Medicine | Faisal Bukhari Md Sc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Glen E. Dust | Family Medicine | Hshs Medical Group Inc | 2 W Adams St, Sullivan, IL 61951-1943 |
| Find all physicians in zip 61951 | |||
| City | SULLIVAN |
| Zip Code | 61951 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SULLIVAN + PHYSICAL THERAPY |
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| 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.