Airn A Etherton (NPI# 1114115920, PAC ID# 4789772914) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114115920 |
| PAC ID by PECOS | 4789772914 |
| Professional Enrollment ID | I20071121000284 |
| Full Name | Airn A Etherton |
| Organization Legal Name | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| Address |
520 N 4th St Springfield IL 62702-5238 |
| Phone Number | 2175458000 |
| Gender | F |
| Graduation Year | 2006 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486667888 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 141339 | TAYLORVILLE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 520 N 4th St, Springfield, IL 62702-5238 | 2175458000 | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| Organization Legal Name | BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deandra Bockhold | Clinical Social Worker | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Helen L Moose | Certified Nurse Midwife (cnm) | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Janet Regine Albers | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Arindam Chakrabarty | Psychiatry | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Paul Anthony Hibbert | Family Medicine | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Johnny C Tenegra | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Amit Sapra | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Rebecca Sharpe-whitaker | Nurse Practitioner | Board of Trustees of Southern Illinois University | 612 N 11th St, Quincy, IL 62301-2662 |
| Jessie A Junker | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Dae Hyoun Jeong | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Street Address |
520 N 4TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62702-5238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helen L Moose | Certified Nurse Midwife (cnm) | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Janet Regine Albers | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Arindam Chakrabarty | Psychiatry | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Johnny C Tenegra | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Amit Sapra | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Jessie A Junker | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Dae Hyoun Jeong | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Zachary J Shipp | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Ankit Sharma | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Harald Lausen | Family Medicine | Board of Trustees of Southern Illinois University | 520 N 4th St, Springfield, IL 62702-5238 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Speck | Chiropractic | 405 E Sangamon Ave, Springfield, IL 62702-1762 | |
| Ryan T Durocher | Chiropractic | 1244 E Sangamon Ave, Springfield, IL 62702-1854 | |
| Dana K Oliver | Chiropractic | Lincoln Chiropractic Clinic PC | 1244 E Sangamon Ave, Springfield, IL 62702-1854 |
| Casey Steven Sitko | Chiropractic | 205 N Grand W Ave, Springfield, IL 62702-2550 | |
| Steven M Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| John L Miller | Chiropractic | The Wellness Center S.c. | 203 N Grand Ave W, Springfield, IL 62702-2550 |
| Cody Derek Needham | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Kyle James Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Scott P Blomberg | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Andrew T Clark | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Find all physicians in zip 62702 | |||
| City | SPRINGFIELD |
| Zip Code | 62702 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SPRINGFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Airn A Etherton.
| 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.