Michael Allen Twyman (NPI# 1053395533, PAC ID# 4688839145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1053395533 |
| PAC ID by PECOS | 4688839145 |
| Professional Enrollment ID | I20160721002506 |
| Full Name | Michael Allen Twyman |
| Organization Legal Name | ST LOUIS HEART AND VASCULAR PC |
| Address |
2120 Madison Ave Suite 101 Granite City IL 62040-4746 |
| Phone Number | 6188768214 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7719880129 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260176 | DES PERES HOSPITAL |
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 260104 | SSM DEPAUL HEALTH CENTER |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 2120 Madison Ave, Suite 101, Granite City, IL 62040-4746 | 6188768214 | ST LOUIS HEART AND VASCULAR PC |
| 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 | 3147410911 | ST LOUIS HEART AND VASCULAR PC |
| Organization Legal Name | ST LOUIS HEART AND VASCULAR PC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla C Tourville | Nurse Practitioner | St Louis Heart and Vascular PC | 3550 Mckelvey Rd, Bridgeton, MO 63044-2535 |
| Pradeep A Chandra | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 2880 Netherton Dr, Suite 102, Saint Louis, MO 63136-4649 |
| Jennifer Burns | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Sherry L Franklin | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Jennifer L Fendler | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Toniya Singh | Cardiovascular Disease (cardiology) | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Sherry A Tindall | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Valerie A Steele | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Tamara Scaife | Nurse Practitioner | St Louis Heart and Vascular PC | 11155 Dunn Rd, 304e, Saint Louis, MO 63136-6111 |
| Amanda N Ventimiglia | Nurse Practitioner | St Louis Heart and Vascular PC | 400 N Caldwell St, Staunton, IL 62088-1173 |
| Street Address |
2120 MADISON AVE SUITE 101 |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-4746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Milton | Nurse Practitioner | Mid-america Psychiatric Consultants LLC | 2120 Madison Ave, Suite 404, Granite City, IL 62040-4749 |
| Asif Habib | Psychiatry | Mid-america Psychiatric Consultants LLC | 2120 Madison Ave, Suite 404, Granite City, IL 62040-4749 |
| Narsimha R Muddasani | Psychiatry | 2120 Madison Ave, Suite 405, Granite City, IL 62040-4749 | |
| Abdul Razzaq | Internal Medicine | St Louis Heart and Vascular PC | 2120 Madison Ave, Suite 101, Granite City, IL 62040-4746 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Danielle Homan | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | GRANITE CITY + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.