Stephanie K Whitmer (NPI# 1386905446, PAC ID# 6507008638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1386905446 |
PAC ID by PECOS | 6507008638 |
Professional Enrollment ID | I20190730000571 |
Full Name | Stephanie K Whitmer |
Organization Legal Name | MORRIS HOSPITAL |
Address |
522 Depot St Mazon IL 60444-3706 |
Phone Number | 8154482423 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 1850372459 |
Number of Group Practice Members | 76 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140101 | MORRIS HOSPITAL & HEALTHCARE CENTERS |
180093 | BAPTIST HEALTH MADISONVILLE |
Address | Phone | Organization |
---|---|---|
522 Depot St, Mazon, IL 60444-3706 | 8154482423 | MORRIS HOSPITAL |
1345 Edwards St, Suite 2, Morris, IL 60450-1692 | 8159421421 | MORRIS HOSPITAL |
1010 Medical Ctr Dr, Powderly, KY 42367-5463 | 2703771600 | BAPTIST HEALTH MEDICAL GROUP INC |
Organization Legal Name | MORRIS HOSPITAL |
Physicians | 82 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stefanie L Henline | Nurse Practitioner | Morris Hospital | 25259 S Reed St, Channahon, IL 60410-6003 |
Jaynee E Pendergast | Family Medicine | Morris Hospital | 389 E Main St, Braidwood, IL 60408-2010 |
Hasan O Suleiman | Family Medicine | Morris Hospital | 100 Gore Rd, Morris, IL 60450-9466 |
Jody R Delind | Obstetrics/gynecology | Morris Hospital | 237 W Waverly St, Morris, IL 60450-1334 |
Stacey R Johnson | Nurse Practitioner | Morris Hospital | 4 E N St, Coal City, IL 60416-1087 |
Jennifer A Frye | Nurse Practitioner | Morris Hospital | 522 Depot St, Mazon, IL 60444-3706 |
Syed M Ahmed | Cardiovascular Disease (cardiology) | Morris Hospital | 151 W High St, Morris, IL 60450-1407 |
Kathleen A Ulivi | Nurse Practitioner | Morris Hospital | 101 S Prairie Ave, Dwight, IL 60420-1350 |
Michael J Liston Jr. | Family Medicine | Morris Hospital | 105 Saravanos Rd, Yorkville, IL 60560-5813 |
Diane M Zuelke | Nurse Practitioner | Morris Hospital | 1802 N Division St, Suite 703, Morris, IL 60450-3104 |
Street Address |
522 DEPOT ST |
City | MAZON |
State | IL |
Zip | 60444-3706 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer A Frye | Nurse Practitioner | Morris Hospital | 522 Depot St, Mazon, IL 60444-3706 |
Charles D Comfort | Internal Medicine | Morris Hospital | 522 Depot St, Mazon, IL 60444-3706 |
City | MAZON |
Zip Code | 60444 |
Specialty | FAMILY MEDICINE |
City + Specialty | MAZON + FAMILY MEDICINE |
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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.