Terri L Braddock-hartman (NPI# 1477637551, PAC ID# 5092811091) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477637551 |
| PAC ID by PECOS | 5092811091 |
| Professional Enrollment ID | I20070508000700 |
| Full Name | Terri L Braddock-hartman |
| Organization Legal Name | MEMORIAL MANAGEMENT INC |
| Address |
3333 W Deyoung St Marion IL 62959-5884 |
| Phone Number | 6189987492 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8325951031 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140184 | HEARTLAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3333 W Deyoung St, Marion, IL 62959-5884 | 6189987492 | MEMORIAL MANAGEMENT INC |
| 3333 W Deyoung St, Suite 205, Marion, IL 62959-5884 | 6189981161 | MEMORIAL MANAGEMENT INC |
| Organization Legal Name | MEMORIAL MANAGEMENT INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ragini Chari | Gastroenterology | Memorial Management Inc | 3331 W Deyoung, Marion, IL 62959-5896 |
| Gladstone A Tucker | Internal Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Harish Kempegowda | Orthopedic Surgery | Memorial Management Inc | 3331 W Deyoung St, Suite 201, Marion, IL 62959-5897 |
| Amy M Quertermous | Nurse Practitioner | Memorial Management Inc | 3331 W Deyoung St, Suite 304, Marion, IL 62959-5898 |
| Robert L Hatchett | Urology | Memorial Management Inc | 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 |
| Sujatha A Rao | Hematology/oncology | Memorial Management Inc | 3331 W Deyoung St, Suite 102, Marion, IL 62959-5896 |
| Michael J Hicks | Qualified Audiologist | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Craig A Beyer | Orthopedic Surgery | Memorial Management Inc | 3331 W Deyoung St, Suite 305, Marion, IL 62959-5898 |
| Carlos Rafael Gonzalez Rendon | General Surgery | Memorial Management Inc | 3331 W Deyoung St, Suite 305, Marion, IL 62959-5898 |
| Earl Hamilton Rudolph | Internal Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Street Address |
3333 W DEYOUNG ST |
| City | MARION |
| State | IL |
| Zip | 62959-5884 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gladstone A Tucker | Internal Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Danuta Gwarnicka | Anesthesiology | Anesthesia Associates of Southern Illinois LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Mustafa Hindi | Hospitalist | Ess of Marion LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Todd L Engdahl | Emergency Medicine | Ess of Marion LLC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Joseph L Liebenrood | Certified Registered Nurse Anesthetist (crna) | Marion Hospital Corporation | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Randy D Balmforth | Diagnostic Radiology | Midwest Radiological Associates PC | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Michael J Hicks | Qualified Audiologist | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Earl Hamilton Rudolph | Internal Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Elizabeth R Eggemeyer | Certified Registered Nurse Anesthetist (crna) | Marion Hospital Corporation | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Renee B Feather | Family Medicine | Memorial Management Inc | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin M White | Chiropractic | 1603 W Kimmel, Marion, IL 62959 | |
| Elizabeth E Lawler | Endocrinology | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Michael P Lawler | Internal Medicine | 1129 N Carbon St, Suite 3, Marion, IL 62959-1068 | |
| James T Lawler | Internal Medicine | 1129 N Carbon St, Marion, IL 62959-1068 | |
| Shirley George | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| Aaron M Morehead | Clinical Social Worker | Centerstone of Illinois Inc | 1307 W Main St, Marion, IL 62959-1139 |
| William P Hess Sr. | Podiatry | 1506 W Main St, Marion, IL 62959-1144 | |
| Gary S Karnes | Chiropractic | 1716 W Main, Marion, IL 62959-1148 | |
| Steven C Blandford | Chiropractic | 1716 Main St, Marion, IL 62959-1148 | |
| Mark D Whitehead | Chiropractic | 2103 W Main, Marion, IL 62959-1163 | |
| Find all physicians in zip 62959 | |||
| City | MARION |
| Zip Code | 62959 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MARION + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Terri L Braddock-hartman.
| 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.