Thomas J Cockayne Jr. (NPI# 1063820231, PAC ID# 6305115890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1063820231 |
| PAC ID by PECOS | 6305115890 |
| Professional Enrollment ID | I20170626002396 |
| Full Name | Thomas J Cockayne Jr. |
| Organization Legal Name | PRAIRIE PODIATRY L.L.C. |
| Address |
2070 W Iles Ave Springfield IL 62704-4174 |
| Phone Number | 2176986228 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9436275369 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140148 | MEMORIAL MEDICAL CENTER |
| 141347 | CARLINVILLE AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6560 W Higgins Ave, Chicago, IL 60656-2161 | 7737750300 | PODIATRY PLUS PC |
| 2070 W Iles Ave, Springfield, IL 62704-4174 | 2176986228 | PRAIRIE PODIATRY L.L.C. |
| Organization Legal Name | PRAIRIE PODIATRY L.L.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane A Brown | Podiatry | Prairie Podiatry L.L.C. | 2070 W Iles Ave, Springfield, IL 62704-4174 |
| Street Address |
2070 W ILES AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62704-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane A Brown | Podiatry | Prairie Podiatry L.L.C. | 2070 W Iles Ave, Springfield, IL 62704-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Blount | Audiologist | Siu Physicians and Surgeons, Inc | 2659 W Lawrence Ave, Springfield, IL 62704-1115 |
| Robert G Calcaterra | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Patrick Macauley | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Nicholas A Silveri | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Stephen E Wallace | Pediatric Medicine | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Barbara L. Mackey-bruzetti | Clinical Social Worker | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Tracy A. Purseglove | Nurse Practitioner | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Misty Phillips | Pediatric Medicine | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Winona M Van Houten | Optometry | 2351 W Monroe St, Springfield, IL 62704-1452 | |
| Ryan Lee Schallenberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2325 W Monroe St, Springfield, IL 62704-1452 |
| Find all physicians in zip 62704 | |||
| City | SPRINGFIELD |
| Zip Code | 62704 |
| Specialty | PODIATRY |
| City + Specialty | SPRINGFIELD + PODIATRY |
Please comment or provide details below to improve the information on Thomas J Cockayne Jr..
| 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.