Susan C Portner (NPI# 1124071915, PAC ID# 6305873043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1124071915 |
| PAC ID by PECOS | 6305873043 |
| Professional Enrollment ID | I20050725000397 |
| Full Name | Susan C Portner |
| Organization Legal Name | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| Address |
1007 Ml King Dr Suite 3 Centralia IL 62801-3001 |
| Phone Number | 6182423778 |
| Gender | F |
| Credential | PT |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6901705441 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 | 6182423778 | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 | 6182423778 | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| Organization Legal Name | ORTHOPAEDIC CENTER OF SOUTHERN ILLINOIS, LTD |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melanie Cross | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Devin D Haertling | Physician Assistant | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Stephanie Schaubert | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Amanda K Mckee | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Scott A Murfin | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Jamie R Smith | Nurse Practitioner | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Mathew T. Phillips | Orthopedic Surgery | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Braedon Haertling | Physician Assistant | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Don Kovalsky | Orthopedic Surgery | Orthopaedic Center of Southern Illinois, Ltd | 4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262 |
| Street Address |
1007 ML KING DR SUITE 3 |
| City | CENTRALIA |
| State | IL |
| Zip | 62801-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Rushing | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Scott A Murfin | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Jennifer Jo Gidley | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Stacie D Chambliss | Physical Therapy | Orthopaedic Center of Southern Illinois, Ltd | 1007 Ml King Dr, Suite 3, Centralia, IL 62801-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A West | Psychiatry | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Bernard E Rerri | Orthopedic Surgery | 938 Ml King Dr, Centralia, IL 62801 | |
| Balavittal Varanasi | Family Medicine | 936 Martin Luther King Dr, Centralia, IL 62801 | |
| Corrinne Kleiboeker | Clinical Social Worker | Community Resource Center Inc | 904 E Martin Luther King Dr, Centralia, IL 62801 |
| Kurt S Williams | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Joshua J Berger | Chiropractic | Berger Chiropractic Office LLC | 315 N Elm St, Centralia, IL 62801-2954 |
| Tammy L Pike | Clinical Nurse Specialist | Physician Services Corporation of Southern Illinois Inc | 1054 M L King Dr, Suite 105, Centralia, IL 62801-3000 |
| Ronald D Lyons | Clinical Social Worker | 1065 M L King Dr, Centralia, IL 62801-3001 | |
| Mark A Murfin Jr. | General Surgery | 1063 Martin Luther King Dr, Centralia, IL 62801-3001 | |
| Murugavel M Muthusamy | Hematology/oncology | Physician Services Corporation of Southern Illinois Inc | 1052 Martin Luther King Dr, Suite 100, Centralia, IL 62801-3002 |
| Find all physicians in zip 62801 | |||
| City | CENTRALIA |
| Zip Code | 62801 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CENTRALIA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Susan C Portner.
| 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.