Andrew Sean Costerisan (NPI# 1477825651, PAC ID# 4789825522) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477825651 |
| PAC ID by PECOS | 4789825522 |
| Professional Enrollment ID | I20140611001535 |
| Full Name | Andrew Sean Costerisan |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Address |
1836 S Macarthur Blvd Springfield IL 62704-4030 |
| Phone Number | 2177891403 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5092857821 |
| Number of Group Practice Members | 412 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1836 S Macarthur Blvd, Springfield, IL 62704-4030 | 2177891403 | HSHS MEDICAL GROUP INC |
| Organization Legal Name | HSHS MEDICAL GROUP INC |
| Physicians | 372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Pulliam | Nurse Practitioner | Hshs Medical Group Inc | 4965 E Lost Bridge Rd, Decatur, IL 62521-5139 |
| Rajinder D Balasuriya | Internal Medicine | Hshs Medical Group Inc | 2801 Mathers Rd, Springfield, IL 62711-7064 |
| Justin Bradley Hill | Family Medicine | Hshs Medical Group Inc | 1116 Hartman Ln, Shiloh, IL 62221-8014 |
| Sahar Yazdani | Family Medicine | Hshs Medical Group Inc | 125 E Plummer Blvd, Chatham, IL 62629-8047 |
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Melissa Kay Edwards | Nurse Practitioner | Hshs Medical Group Inc | 2965 N Main St E, Hshs Medical Group Internal Medicine N Decatur, Decatur, IL 62526-4392 |
| Judy M Tonry | Nurse Practitioner | Hshs Medical Group Inc | 1118 W Legacy Pointe Dr, Springfield, IL 62711-6444 |
| Mohammed Iyoob Mohammed Ilyas | General Surgery | Hshs Medical Group Inc | 904 Medical Park Dr, Effingham, IL 62401-2193 |
| Imtiaz H Bangash | Internal Medicine | Hshs Medical Group Inc | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 |
| Krystal Gilb | Nurse Practitioner | Hshs Medical Group Inc | 2401 S Ctr St, Maryville, IL 62062-5401 |
| Street Address |
1836 S MACARTHUR BLVD |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62704-4030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula Kay Hubbard | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Wendy D Dorworth | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Tracie A Holbert | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Megan Adams | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Angela Mccormick | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Deborah Jean Horton | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Robert H Juranek | Internal Medicine | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Carolyn Y Wagner | Nurse Practitioner | Hshs Medical Group Inc | 1836 S Macarthur Blvd, Springfield, IL 62704-4030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Blount | Audiologist | Siu Physicians and Surgeons, Inc | 2659 W Lawrence Ave, Springfield, IL 62704-1115 |
| Robert G Calcaterra | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Patrick Macauley | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Nicholas A Silveri | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Stephen E Wallace | Pediatric Medicine | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Barbara L. Mackey-bruzetti | Clinical Social Worker | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Tracy A. Purseglove | Nurse Practitioner | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Misty Phillips | Pediatric Medicine | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Winona M Van Houten | Optometry | 2351 W Monroe St, Springfield, IL 62704-1452 | |
| Ryan Lee Schallenberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2325 W Monroe St, Springfield, IL 62704-1452 |
| Find all physicians in zip 62704 | |||
| City | SPRINGFIELD |
| Zip Code | 62704 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SPRINGFIELD + PHYSICIAN ASSISTANT |
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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.