Susan K Reynolds (NPI# 1700877032, PAC ID# 5698757896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1700877032 |
| PAC ID by PECOS | 5698757896 |
| Professional Enrollment ID | I20110307000477 |
| Full Name | Susan K Reynolds |
| Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Address |
1215 Vandalia St Collinsville IL 62234-4060 |
| Phone Number | 6183436015 |
| Gender | F |
| Credential | MD |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1456256874 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141346 | FAYETTE COUNTY HOSPITAL |
| 140289 | ANDERSON HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1215 Vandalia St, Collinsville, IL 62234-4060 | 6183436015 | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 34% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 34% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 34% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noah M Cooperstein | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 3 Saint Elizabeth Blvd, Suite 4000, O Fallon, IL 62269-1099 |
| James Webb Cole Iii | Psychiatry | Southern Illinois Healthcare Foundation, Inc. | 1200 N E St, Olney, IL 62450-2432 |
| James Howard Hobby | Obstetrics/gynecology | Southern Illinois Healthcare Foundation, Inc. | 7210 W Main St, Belleville, IL 62223-3038 |
| Christa L Metzelaars | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 700 Broadway Ave E, Suite 39, Mattoon, IL 61938-4662 |
| Shelley D Reichling | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 824 Locust St, Red Bud, IL 62278-1209 |
| Chester B Nay | Physician Assistant | Southern Illinois Healthcare Foundation, Inc. | 302 N Mill St, Greenup, IL 62428-1062 |
| Amy L Mclean | Nurse Practitioner | Southern Illinois Healthcare Foundation, Inc. | 1275 Hawthorn Rd, Salem, IL 62881-1028 |
| Alfred Johnson | Family Medicine | Southern Illinois Healthcare Foundation, Inc. | 2001 State St, East Saint Louis, IL 62205-1803 |
| Nanthini Suthan | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 2 Terminal Dr, Suite 8, East Alton, IL 62024-2294 |
| Theodore Ross | Internal Medicine | Southern Illinois Healthcare Foundation, Inc. | 6000 Bond Ave, Centreville, IL 62207-2328 |
| Street Address |
1215 VANDALIA ST |
| City | COLLINSVILLE |
| State | IL |
| Zip | 62234-4060 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Saia | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1071 -1073 Collinsville Crsng Blvd, Collinsville, IL 62234-1883 |
| Samuel Arcipowski | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1071 -1073 Collinsville Crsng Blvd, Collinsville, IL 62234-1883 |
| Joseph M Corvallis | Family Medicine | 101 Saint Louis Rd, Collinsville, IL 62234-2450 | |
| Madilyn Marie Lewis | Chiropractic | 226 S Morrison Ave, Collinsville, IL 62234-2711 | |
| Raj M Sajid | Family Medicine | 415 W Main St, Suite 3, Collinsville, IL 62234-3043 | |
| Mark A Havera | Optometry | Havera Eye Care Specialists LLC | 119 N Morrison Ave, Collinsville, IL 62234-3226 |
| Jeffrey P Herberts | Optometry | 119 N Morrison Ave, Collinsville, IL 62234-3226 | |
| Amber M Pendegraft | Nurse Practitioner | Midwest Post Acute Care LLC | 614 N Summit Ave, Collinsville, IL 62234-3728 |
| William Nathaniel Byrkit | Chiropractic | 1280 Vandalia St, Collinsville, IL 62234-4024 | |
| Patrick S Zimmermann | Family Medicine | 531 Vandalia St, Suite 201, Collinsville, IL 62234-4061 | |
| Find all physicians in zip 62234 | |||
| City | COLLINSVILLE |
| Zip Code | 62234 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COLLINSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Susan K Reynolds.
| 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.