Ethan E Reynolds (NPI# 1124339734, PAC ID# 6103139399) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
Nation Provider ID (NPI) | 1124339734 |
PAC ID by PECOS | 6103139399 |
Professional Enrollment ID | I20150716002284 |
Full Name | Ethan E Reynolds |
Organization Legal Name | MIDWEST ANESTHESIA PROVIDERS SC |
Address |
1 Memorial Dr Alton IL 62002-6722 |
Phone Number | 6184637311 |
Gender | M |
Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
Graduation Year | 2010 |
Primary Specialty | ANESTHESIOLOGY |
Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
Group Practice PAC ID | 9830480581 |
Number of Group Practice Members | 77 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140002 | ALTON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1 Memorial Dr, Alton, IL 62002-6722 | 6184637311 | MIDWEST ANESTHESIA PROVIDERS SC |
11133 Dunn Rd, Saint Louis, MO 63136-6163 | 3146535000 | MIDWEST ANESTHESIA PROVIDERS SC |
2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 3149669100 | PHYSICIAN SPECIALISTS OF ST LUKES LLC |
Organization Legal Name | MIDWEST ANESTHESIA PROVIDERS SC |
Physicians | 58 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dia Milazzo | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Yunhong Zhang | Anesthesiology | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Sylvia G Hoormann | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Christian L Hodach | Anesthesiology | Midwest Anesthesia Providers Sc | 10 Hospital Dr, Saint Peters, MO 63376-1659 |
Meghan E Greaves | Anesthesiology Assistant | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Christine E Nance | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Aaron D Wede | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Carol Slazinik | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Kelly E Anderson | Anesthesiology Assistant | Midwest Anesthesia Providers Sc | 11133 Dunn Rd, Saint Louis, MO 63136-6163 |
Chelsea Reinersman | Certified Registered Nurse Anesthetist (crna) | Midwest Anesthesia Providers Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Street Address |
1 MEMORIAL DR |
City | ALTON |
State | IL |
Zip | 62002-6722 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juletta Avagyan | Hospitalist | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Maggie Duffey Lewis | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 1 Memorial Dr, Alton, IL 62002-6755 |
David A Harmon | Family Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Vibhu Dhawan | Internal Medicine | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Aton Lindon Martin Osbourne | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
David R Riedel | Gastroenterology | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Christopher R Aldridge | General Surgery | Fairview Heights Medical Group Sc | 1 Memorial Dr, Alton, IL 62002-6722 |
Gretchen L Byrkit | Obstetrics/gynecology | Womens Health Care Specialists of Decatur LLC | 1 Memorial Dr, Suite 216, Decatur, IL 62526-6321 |
David W Burnside | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1 Memorial Dr, Alton, IL 62002-6722 |
Anissa F Washington | Nurse Practitioner | Southeastern Emergency Services of Memphis PC | 1 Memorial Dr, Alton, IL 62002-6755 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
Chih Jen Wang | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
Find all physicians in zip 62002 |
City | ALTON |
Zip Code | 62002 |
Specialty | ANESTHESIOLOGY |
City + Specialty | ALTON + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Ethan E 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.