Mia Chewrie Thouvenot (NPI# 1396173753, PAC ID# 4880962240) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1396173753 |
| PAC ID by PECOS | 4880962240 |
| Professional Enrollment ID | I20170608001053 |
| Full Name | Mia Chewrie Thouvenot |
| Organization Legal Name | TOUCHETTE REGIONAL HOSPITAL INC |
| Address |
2071 Goose Lake Rd Sauget IL 62206-2822 |
| Phone Number | 6184827128 |
| Gender | F |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7416843370 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141336 | ST JOSEPH'S HOSPITAL |
| 140077 | TOUCHETTE REGIONAL HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2071 Goose Lake Rd, Sauget, IL 62206-2822 | 6184827128 | TOUCHETTE REGIONAL HOSPITAL INC |
| Organization Legal Name | TOUCHETTE REGIONAL HOSPITAL INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moungar E Cooper | General Surgery | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Terence E Wade | Diagnostic Radiology | Touchette Regional Hospital Inc | 5900 Bond Ave, Centreville, IL 62207-2326 |
| Sue J Volarich | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Joseph T Basler | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Daniel R Roubein | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Ricki Sue Loar | Nurse Practitioner | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Syed K Hussain | Internal Medicine | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Anton J Johnson | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Nzeadibenma O Uzochukwu | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Theodore J Gleason | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Street Address |
2071 GOOSE LAKE RD |
| City | SAUGET |
| State | IL |
| Zip | 62206-2822 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moungar E Cooper | General Surgery | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Jessica L Epperson | Clinical Social Worker | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Tina T Mond | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Sue J Volarich | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Joseph T Basler | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Hetal H Amin | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Kelly J Medlin | Clinical Social Worker | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Bhawna Sharma | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Jacqueline S Aregood | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Daniel R Roubein | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Magner Ii | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 |
| Prasad Abraham | Family Practice | 901 Range Ln, Cahokia, IL 62206-2023 | |
| Derrick Hamilton | Chiropractic | 1518 Camp Jackson Rd, Cahokia, IL 62206-2561 | |
| Anita S Wiggs | Nurse Practitioner | Metropolis Medical Partners Pa | 3354 Jerome Ln, Cahokia, IL 62206-2604 |
| Ricki Sue Loar | Nurse Practitioner | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Syed K Hussain | Internal Medicine | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Anton J Johnson | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Nzeadibenma O Uzochukwu | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Theodore J Gleason | Diagnostic Radiology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Robert Prophete | Urology | Touchette Regional Hospital Inc | 2071 Goose Lake Rd, Sauget, IL 62206-2822 |
| Find all physicians in zip 62206 | |||
| City | SAUGET |
| Zip Code | 62206 |
| Specialty | PODIATRY |
| City + Specialty | SAUGET + PODIATRY |
Please comment or provide details below to improve the information on Mia Chewrie Thouvenot.
| 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.