Jesse G Susi (NPI# 1033145875, PAC ID# 6103907829) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1033145875 |
| PAC ID by PECOS | 6103907829 |
| Professional Enrollment ID | I20100513000541 |
| Full Name | Jesse G Susi |
| Organization Legal Name | SIGNATURE MEDICAL GROUP, INC |
| Address |
20 Progress Point Pkwy Suite 106 O Fallon MO 63368-2207 |
| Phone Number | 3149834700 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 4880598291 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260020 | MERCY HOSPITAL ST LOUIS |
| 260219 | PROGRESS WEST HOSPITAL |
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| Address | Phone | Organization |
|---|---|---|
| 20 Progress Point Pkwy, Suite 106, O Fallon, MO 63368-2207 | 3149834700 | SIGNATURE MEDICAL GROUP, INC |
| 845 N New Ballas Court, Suite 200, Saint Louis, MO 63141-7134 | 3149834700 | SIGNATURE MEDICAL GROUP, INC |
| 621 S New Ballas Rd, 63b, St Louis, MO 63141-8251 | 3149834700 | SIGNATURE MEDICAL GROUP, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SIGNATURE MEDICAL GROUP, INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magdalena Sniadowski | Nurse Practitioner | Signature Medical Group, Inc | 1675 S Arlington Heights Rd, Arlington Heights, IL 60005-3769 |
| Kelly Raney | Nurse Practitioner | Signature Medical Group, Inc | 1195 N Oakland Ave, Bolivar, MO 65613-8095 |
| Kathleen B Risley | Nurse Practitioner | Signature Medical Group, Inc | 621 S New Ballas, 695a, Saint Louis, MO 63141-8263 |
| Nisha Patel | Nurse Practitioner | Signature Medical Group, Inc | 2010 S Arlington Heights Rd, Suite 110, Arlington Heights, IL 60005-4100 |
| Rumana F Siddiqui | Family Medicine | Signature Medical Group, Inc | 800 W Central Rd, Arlington Heights, IL 60005-2349 |
| Laura L Meyers | Orthopedic Surgery | Signature Medical Group, Inc | 845 N New Ballas Court, Suite 200, Saint Louis, MO 63141-7134 |
| Michael F Burns | Sports Medicine | Signature Medical Group, Inc | 845 N New Ballas Court, Suite 200, Saint Louis, MO 63141-7134 |
| Dale E Doerr | Orthopedic Surgery | Signature Medical Group, Inc | 7345 Watson Rd, Ll3, St Louis, MO 63119-4467 |
| David W Strege | Hand Surgery | Signature Medical Group, Inc | 845 N New Ballas Court, Suite 200, Saint Louis, MO 63141-7134 |
| Meghan E Sinon | Physician Assistant | Signature Medical Group, Inc | 10010 Kennerly Rd, Suite 4, Saint Louis, MO 63128-2106 |
| Street Address |
20 PROGRESS POINT PKWY SUITE 106 |
| City | O FALLON |
| State | MO |
| Zip | 63368-2207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle L Maloney | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Brian Grus | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Gloria Michelle P Edacheril | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Bridget Doerr | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Genevieve Catherine Matthews | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Yolanda Bledsoe | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Kirsten M Mcdaniel | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Andrew Thomas Blackburne | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Christopher Dennis Jaeger | Urology | Bjsph Physician Billing Services, LLC | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Loria A Lindsey | Obstetrics/gynecology | 20 Progress Point Pkwy, Suite 200, O Fallon, MO 63368-2207 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin F Clark | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Jeffrey S Swank | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Benjamin L Schaub | Physical Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Donald T Thorsen | Occupational Therapy | Prorehab PC | 951 Waterbury Falls Dr, O Fallon, MO 63368-2202 |
| Theodore S Rummel | Orthopedic Surgery | Piper Spine Care, PC | 2 Progress Point Pkwy, O Fallon, MO 63368-2205 |
| Milton O Ochieng | Gastroenterology | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Angela C Clercx | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Jamie L Tueth | Internal Medicine | Physician Groups Lc | 20 Progress Point Pkwy, Suite 108, O Fallon, MO 63368-2207 |
| Valentina Jordan Moore | Nurse Practitioner | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Martin B Ast | Cardiovascular Disease (cardiology) | Physician Groups Lc | 20 Progress Point Pkwy, Suite 206, O Fallon, MO 63368-2207 |
| Find all physicians in zip 63368 | |||
| City | O FALLON |
| Zip Code | 63368 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | O FALLON + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jesse G Susi.
| 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.