Ava V Star (NPI# 1063739951, PAC ID# 4486878113) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1063739951 |
| PAC ID by PECOS | 4486878113 |
| Professional Enrollment ID | I20181204000676 |
| Full Name | Ava V Star |
| Organization Legal Name | CAPE RADIOLOGY GROUP PC |
| Address |
405 W Jackson St Carbondale IL 62901-1462 |
| Phone Number | 6185490721 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9830093236 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| Address | Phone | Organization |
|---|---|---|
| 405 W Jackson St, Carbondale, IL 62901-1462 | 6185490721 | CAPE RADIOLOGY GROUP PC |
| Organization Legal Name | CAPE RADIOLOGY GROUP PC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tom B Brumitt | Diagnostic Radiology | Cape Radiology Group PC | 70 Doctors Park, Cape Girardeau, MO 63703-4928 |
| Justin R Hodge | Diagnostic Radiology | Cape Radiology Group PC | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Frederick D Harris Jr. | Diagnostic Radiology | Cape Radiology Group PC | 517 N Main St, Anna, IL 62906-1668 |
| Jeffrey M Gremmels | Diagnostic Radiology | Cape Radiology Group PC | 1701 Lacey St, Cape Girardeau, MO 63701-5230 |
| Richard L Ogles | Diagnostic Radiology | Cape Radiology Group PC | 70 Doctors Park, Cape Girardeau, MO 63703-4928 |
| Shanaree M Muzinich | Diagnostic Radiology | Cape Radiology Group PC | 70 Doctors Park, Cape Girardeau, MO 63703-4928 |
| Todd Michael Buersmeyer | Interventional Radiology | Cape Radiology Group PC | 1701 Lacey St, Cape Girardeau, MO 63701-5230 |
| Marc A Apostol | Diagnostic Radiology | Cape Radiology Group PC | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Jacqueline A Treschuk Bahn | Diagnostic Radiology | Cape Radiology Group PC | 900 N Washington St, Du Quoin, IL 62832-1233 |
| Patrick M Keating | Interventional Radiology | Cape Radiology Group PC | 1701 Lacey St, Cape Girardeau, MO 63701-5230 |
| Street Address |
405 W JACKSON ST |
| City | CARBONDALE |
| State | IL |
| Zip | 62901-1462 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe Varghese Yohannan | Hospitalist | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Long Ha Huynh | Anesthesiology | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Jocelyn Leon Peters | Obstetrics/gynecology | Shawnee Health Service and Development Corp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Gowda Sharath | Hospitalist | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Sarah Nicole Kries | Certified Registered Nurse Anesthetist (crna) | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Nathaniel C Crum | Certified Registered Nurse Anesthetist (crna) | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Refat D Khader | Anesthesiology | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Justin R Hodge | Diagnostic Radiology | Cape Radiology Group PC | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Sareer Zia | Hospitalist | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Kevin Ml Martin | Emergency Medicine | Southern Illinois Medical Services, Nfp | 405 W Jackson St, Carbondale, IL 62901-1462 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Nichole Dinga | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Carlos Mario Rivera Serrano | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Kelli Nicole Webb | Plastic and Reconstructive Surgery | Southern Illinois Medical Services, Nfp | 1400 Financial Park Dr, Carbondale, IL 62901 |
| Fakhre Alam | Neurology | 2731 W Main St, Suite A, Carbondale, IL 62901-1028 | |
| Muhammad J Popalzai | Hematology/oncology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Melissa Andrea Martinez Mateo | Gastroenterology | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Lukas John Ward | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Emily D Hanson | Family Medicine | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Phillip A Dewey | Physician Assistant | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Jessie Nicole Fox | Nurse Practitioner | Southern Illinois Medical Services, Nfp | 2601 W Main St, Carbondale, IL 62901-1031 |
| Find all physicians in zip 62901 | |||
| City | CARBONDALE |
| Zip Code | 62901 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | CARBONDALE + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Ava V Star.
| 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.