Jon O Humphrey (NPI# 1699972893, PAC ID# 6002838448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1699972893 |
| PAC ID by PECOS | 6002838448 |
| Professional Enrollment ID | I20070808000756 |
| Full Name | Jon O Humphrey |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS, INC |
| Address |
751 N Rutledge St Springfield IL 62702-4909 |
| Phone Number | 2175450185 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 2365352820 |
| Number of Group Practice Members | 231 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140164 | MEMORIAL HOSPITAL OF CARBONDALE |
| 141334 | ST JOSEPH MEMORIAL HOSPITAL |
| 140011 | HERRIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 751 N Rutledge St, Springfield, IL 62702-4909 | 2175450185 | SIU PHYSICIANS AND SURGEONS, INC |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Blount | Audiologist | Siu Physicians and Surgeons, Inc | 2659 W Lawrence Ave, Springfield, IL 62704-1115 |
| David Ernest Steward | Internal Medicine | Siu Physicians and Surgeons, Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Sharon Kwamboka Onguti | Internal Medicine | Siu Physicians and Surgeons, Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Tamer Hamdallah Hudali | Internal Medicine | Siu Physicians and Surgeons, Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Robert Alan Buzzell | Dermatology | Siu Physicians and Surgeons, Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Allen B Devleschoward Jr. | Neurology | Siu Physicians and Surgeons, Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Melissa Ann Mcculloch | Clinical Social Worker | Siu Physicians and Surgeons, Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Dordana E Ingram | Clinical Social Worker | Siu Physicians and Surgeons, Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Leonard Patrick Rybak | Otolaryngology | Siu Physicians and Surgeons, Inc | 751 N Rutledge St, Springfield, IL 62702-4909 |
| Laura Elizabeth Law | Physician Assistant | Siu Physicians and Surgeons, Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Street Address |
751 N RUTLEDGE ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62702-4909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Marc Abrams | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Zachariah Gurnsey | Internal Medicine | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Nathalie Emma Marie Foray | Pulmonary Disease | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Ryan Mccarty | Internal Medicine | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Lucinda Sue Buescher | Dermatology | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Abdullah Alsawaf | Neurology | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Abdul Monem Swied | Gastroenterology | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| James Manning Gilchrist | Neurology | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Elizabeth Ramsey Unal | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Stacy Renee Lee | Clinical Social Worker | Siu Physicians and Surgeons Inc | 751 N Rutledge St, Springfield, IL 62702-4968 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Speck | Chiropractic | 405 E Sangamon Ave, Springfield, IL 62702-1762 | |
| Ryan T Durocher | Chiropractic | 1244 E Sangamon Ave, Springfield, IL 62702-1854 | |
| Dana K Oliver | Chiropractic | Lincoln Chiropractic Clinic PC | 1244 E Sangamon Ave, Springfield, IL 62702-1854 |
| Casey Steven Sitko | Chiropractic | 205 N Grand W Ave, Springfield, IL 62702-2550 | |
| Steven M Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| John L Miller | Chiropractic | The Wellness Center S.c. | 203 N Grand Ave W, Springfield, IL 62702-2550 |
| Cody Derek Needham | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Kyle James Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Scott P Blomberg | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Andrew T Clark | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Find all physicians in zip 62702 | |||
| City | SPRINGFIELD |
| Zip Code | 62702 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SPRINGFIELD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Jon O Humphrey.
| 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.