Angela Dawn Herndon (NPI# 1265548986, PAC ID# 5496775678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1265548986 |
| PAC ID by PECOS | 5496775678 |
| Professional Enrollment ID | I20051202000177 |
| Full Name | Angela Dawn Herndon |
| Organization Legal Name | RURAL FAMILY MEDICINE ASSOCIATES LTD |
| Address |
739 N Jefferson St Mascoutah IL 62258-1447 |
| Phone Number | 6185668810 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264489038 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140187 | ST ELIZABETH HOSPITAL |
| 140145 | ST JOSEPHS HOSPITAL |
| 140307 | METRO-EAST SERVICES INC |
| Address | Phone | Organization |
|---|---|---|
| 739 N Jefferson St, Mascoutah, IL 62258-1447 | 6185668810 | RURAL FAMILY MEDICINE ASSOCIATES LTD |
| 739 N Jefferson St, Suite 200, Mascoutah, IL 62258-1447 | 6185668810 | RURAL FAMILY MEDICINE ASSOCIATES LTD |
| Organization Legal Name | RURAL FAMILY MEDICINE ASSOCIATES LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Pritchett | Family Medicine | Rural Family Medicine Associates Ltd | 739 N Jefferson St, Suite 200, Mascoutah, IL 62258-1447 |
| Paul J Reger | Family Medicine | Rural Family Medicine Associates Ltd | 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 |
| Todd E Vonderheide | Family Medicine | Rural Family Medicine Associates Ltd | 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 |
| James C Althoff | Family Medicine | Rural Family Medicine Associates Ltd | 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 |
| Brett M Winkeler | Family Medicine | Rural Family Medicine Associates Ltd | 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 |
| Stephen L Raben | Family Medicine | Rural Family Medicine Associates Ltd | 739 N Jefferson St, Suite 200, Mascoutah, IL 62258-1447 |
| Judith K Weis | Family Medicine | Rural Family Medicine Associates Ltd | 251 Marketplace Dr, Suite 1, Freeburg, IL 62243-4082 |
| Street Address |
739 N JEFFERSON ST |
| City | MASCOUTAH |
| State | IL |
| Zip | 62258-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Pritchett | Family Medicine | Rural Family Medicine Associates Ltd | 739 N Jefferson St, Suite 200, Mascoutah, IL 62258-1447 |
| Stephen L Raben | Family Medicine | Rural Family Medicine Associates Ltd | 739 N Jefferson St, Suite 200, Mascoutah, IL 62258-1447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Keller | Chiropractic | 1238 W Main St, Mascoutah, IL 62258-1060 | |
| Sarah A Becker | Nurse Practitioner | 201 S 10th St, Mascoutah, IL 62258-1736 | |
| Michelle Hippard | Chiropractic | 212 S Jefferson St, Mascoutah, IL 62258-2421 | |
| Stephanie Schnitker | Chiropractic | 212 S Jefferson St, Mascoutah, IL 62258-2421 | |
| Ashley Lynn Meseke | Physical Therapy | Apex Physical Therapy LLC | 610 S Jefferson St, Mascoutah, IL 62258-2615 |
| City | MASCOUTAH |
| Zip Code | 62258 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MASCOUTAH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Angela Dawn Herndon.
| 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.