Tracy M Riordan (NPI# 1124094362, PAC ID# 5698672509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1124094362 |
| PAC ID by PECOS | 5698672509 |
| Professional Enrollment ID | I20031218000167 |
| Full Name | Tracy M Riordan |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Address |
1254 Main St Imperial MO 63052-3861 |
| Phone Number | 6367413130 |
| Gender | F |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7214827922 |
| Number of Group Practice Members | 363 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260023 | MERCY HOSPITAL JEFFERSON |
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260077 | ST ANTHONY'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1254 Main St, Imperial, MO 63052-3861 | 6367413130 | MERCY CLINIC EAST COMMUNITIES |
| Organization Legal Name | MERCY CLINIC EAST COMMUNITIES |
| Physicians | 383 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Winchester | Family Medicine | Mercy Clinic East Communities | 2223 Technology Dr, Suite 35, O Fallon, MO 63368-7272 |
| Amy Marie Saak | Nurse Practitioner | Mercy Clinic East Communities | 802 Mel Carnahan Dr, Suite 215, Hillsboro, MO 63050-2427 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Graham Tyler Foster | Family Medicine | Mercy Clinic East Communities | 9338 Olive Blvd, Suite 100a, Saint Louis, MO 63132-3248 |
| Danielle Besand | Nurse Practitioner | Mercy Clinic East Communities | 521 Anwijo Way, Warrenton, MO 63383-1388 |
| Candace Parker Fleming | Physician Assistant | Mercy Clinic East Communities | 739 W Springfield Ave, Gerald, MO 63037-2135 |
| Andrea M Schuster | Family Medicine | Mercy Clinic East Communities | 301 Theresa St, Cuba, MO 65453-1636 |
| Patrice Burnett | Nurse Practitioner | Mercy Clinic East Communities | 1390 Us Hwy 61 N-1000, Mercy Clinic Family Medicine Jeffe, Festus, MO 63028-4136 |
| Angela Mehler | Nurse Practitioner | Mercy Clinic East Communities | 5194 Jeremiah Blvd, Hillsboro, MO 63050-5815 |
| Spencer Cotterell | Physical Medicine and Rehabilitation | Mercy Clinic East Communities | 14561 N Outer 40 Rd, Chesterfield, MO 63017-5703 |
| Street Address |
1254 MAIN ST |
| City | IMPERIAL |
| State | MO |
| Zip | 63052-3861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lea Raineri | Nurse Practitioner | Mercy Clinic East Communities | 1254 Main St, Imperial, MO 63052-3861 |
| Preethi M Schmeidler | Family Medicine | Mercy Clinic East Communities | 1254 Main St, Imperial, MO 63052-3861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul G Amato | Chiropractic | 5207 Warren Rd, Imperial, MO 63052-1521 | |
| Kyle G Schmitz | Chiropractic | Schmitz Chiropractic, LLC | 1502 Prehistoric Hill Dr, Imperial, MO 63052-2288 |
| Mark R Schmitz | Chiropractic | Schmitz Chiropractic, LLC | 1502 Prehistoric Hill Dr, Imperial, MO 63052-2288 |
| Melissa Ann Muench | Family Medicine | Family Medicine - Slmg South, LLC | 1501 Professional Dr, Imperial, MO 63052-3809 |
| Nicole E Baker | Family Medicine | Family Medicine - Slmg South, LLC | 1501 Professional Dr, Imperial, MO 63052-3809 |
| Michael A Patterson | Family Medicine | Family Medicine - Slmg South, LLC | 1501 Professional Dr, Imperial, MO 63052-3809 |
| Alex Amann | Optometry | Clarkson Optometry Inc | 1259 Main St, Imperial, MO 63052-3852 |
| Christina Ulrich | Optometry | Clarkson Optometry Inc | 1259 Main St, Imperial, MO 63052-3852 |
| City | IMPERIAL |
| Zip Code | 63052 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | IMPERIAL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Tracy M Riordan.
| 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.