Bill L Shisko (NPI# 1558471151, PAC ID# 6002076411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1558471151 |
| PAC ID by PECOS | 6002076411 |
| Professional Enrollment ID | I20120322000054 |
| Full Name | Bill L Shisko |
| Address |
9628 Midland Blvd Suite 2 St Louis MO 63114-3353 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9628 Midland Blvd, Suite 2, St Louis, MO 63114-3353 |
| Street Address |
9628 MIDLAND BLVD SUITE 2 |
| City | ST LOUIS |
| State | MO |
| Zip | 63114-3353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annessa Blackmun | Podiatry | Preferred Podiatry Group PC | 3333 Brown Rd, Saint Louis, MO 63114-4327 |
| Martin Lewis Cline | Nurse Practitioner | Mobile Wound Solutions LLC | 3333 Brown Rd, St Louis, MO 63114-4327 |
| Phillip Mark Lueckenhoff | Optometry | Overland Optical, Inc. | 2533 Woodson Rd, Overland, MO 63114-5436 |
| Nicole Wilson | Optometry | Overland Optical, Inc. | 2533 Woodson Rd, Overland, MO 63114-5436 |
| Sara E Schmitz | Optometry | Overland Optical, Inc. | 2533 Woodson Rd, Overland, MO 63114-5436 |
| Tawana S Spann | Physical Therapy | Tawana Spann Physical Therapy LLC | 2040 Woodson Rd, 201 Fyzical Therapy and Balance, Saint Louis, MO 63114-5606 |
| Selena M Carter | Occupational Therapy | Tawana Spann Physical Therapy LLC | 2040 Woodson Rd, 201 Fyzical Therapy and Balance, Saint Louis, MO 63114-5606 |
| Alexander D Harris | Optometry | Daniel D Seibert Od PC | 2040 Woodson Rd, Suite 100, Overland, MO 63114-5606 |
| Daniel D Seibert | Optometry | Daniel D Seibert Od PC | 2040 Woodson Rd, Suite 100, Overland, MO 63114-5606 |
| Edgar Everett Iii | Chiropractic | 2050 Woodson Rd, Suite 101, Overland, MO 63114-5644 | |
| Find all physicians in zip 63114 | |||
| City | ST LOUIS |
| Zip Code | 63114 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | ST LOUIS + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Bill L Shisko.
| 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.