Jim Jiantao Hong (NPI# 1487662656, PAC ID# 5597768044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487662656 |
| PAC ID by PECOS | 5597768044 |
| Professional Enrollment ID | I20060823000134 |
| Full Name | Jim Jiantao Hong |
| Address |
104 Magnolia Dr Suite A Glen Carbon IL 62034-1595 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140289 | ANDERSON HOSPITAL |
| 140125 | GATEWAY REGIONAL MEDICAL CENTER |
| 140052 | OSF SAINT ANTHONY'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 104 Magnolia Dr, Suite A, Glen Carbon, IL 62034-1595 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
104 MAGNOLIA DR SUITE A |
| City | GLEN CARBON |
| State | IL |
| Zip | 62034-1595 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Cottrell | Nurse Practitioner | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Michael J Walter | Critical Care (intensivists) | Granite City Clinic Corp | 4273 S State Route 159, Second Floor, Glen Carbon, IL 62034 |
| Richard C Coy | Chiropractic | Optimum Wellness and Rehabilitation PC | 3407s State Route 157 1, Glen Carbon, IL 62034-1042 |
| Emily A Brueggeman | Chiropractic | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 | |
| Nikole L Hunter | Chiropractic | Brueggeman Chiropractic Center LLC | 108 Magnolia Dr A, Glen Carbon, IL 62034-1595 |
| Haresh K Motwani | Family Medicine | 27 Auerbach Place, Glen Carbon, IL 62034-1596 | |
| Barton Lynn Blackorby | Ophthalmology | Retina Consultants Ltd | 5 Country Club Executive Park, Glen Carbon, IL 62034-1702 |
| Alisha A White | Internal Medicine | 4 Country Club Executive Park, Glen Carbon, IL 62034-1702 | |
| Ryan J Cleland | Chiropractic | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Elizabeth Anne Voss | Nurse Practitioner | Infinite Wellness Chiropractic Ltd | 220 Evergreen Ln, Unit B, Glen Carbon, IL 62034-1714 |
| Find all physicians in zip 62034 | |||
| City | GLEN CARBON |
| Zip Code | 62034 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GLEN CARBON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jim Jiantao Hong.
| 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.